Holly R. Cantrell, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11262 Issued in GA

Practice address

108 Highland Ave
Cornelia, GA 30531-4363

Phone

(706) 778-5093

Fax

(706) 776-2708

NPI assigned

Jul 17, 2006

Last updated

Jan 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1003834268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HIGHLAND AVE",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305314363",
            "telephone_number": "706-778-5093",
            "fax_number": "706-776-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGHLAND AVE",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305314363",
            "telephone_number": "706-778-5093",
            "fax_number": "706-776-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "HOLLY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Black, PHARMD
• Andrew J Brent, LPC
• Debra Marie Cain, ED.S.
• Kelly Beth Cain, PHARMD
• Donald Cantrell Jr., D.M.D.
• Hong-Gil Chae
• Children and Teen Dental Group (Elite Dentistry of Georgia)
• Stephanie Chu
• Hannah Rae Clark, RN
• James Monroe Colston, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Cornelia, GA
• Providers in Cornelia, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.