Ashley Juanita Holliman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4386-23 Issued in MS

Practice address

4400 McInnis Ave
Moss Point, MS 39563-2814

Phone

(228) 475-0005

Fax

(228) 475-0057

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Dental Care PLLC

  • Dentist
  • Moss Point, MS
  • NPI 1730551508
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1083399349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MCINNIS AVE",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632814",
            "telephone_number": "228-475-0005",
            "fax_number": "228-475-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MCINNIS AVE",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632814",
            "telephone_number": "228-475-0005",
            "fax_number": "228-475-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIMAN",
        "first_name": "ASHLEY",
        "middle_name": "JUANITA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4386-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula L Helmly, CRNP
• Don M Hembree, D.C.
• Here and There Non Emergency Transportation (Here&There Non-emergency Transportation , LLC)
• Timothy C Hiebert, MD
• Heather Holland, LCSW
• Holmac, Inc. (RX Express Pharmacy)
• Hoop Cares LLC.
• Kayla Hults, NP-C
• Hurley Family Dental Care
• Lily Mosley Huwe, OTD, OTR/L

• Dentist in Moss Point, MS
• Providers in Moss Point, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.