Andrew Holderer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12015127A Issued in IN

Practice address

674 Blvd de France
MCRD Parris Island Dental BLDG
Parris Island, SC 29905

Phone

(843) 228-3500

NPI assigned

Jul 28, 2026

Sex

Male

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

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1104748680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 BLVD DE FRANCE",
            "address_2": "MCRD PARRIS ISLAND DENTAL BLDG",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 BLVD DE FRANCE",
            "address_2": "MCRD PARRIS ISLAND DENTAL BLDG",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29905",
            "telephone_number": "843-228-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERER",
        "first_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12015127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grason Joseph Hadfield, DMD
• Andrew Hamm, D.O.
• Vivian Harber, DDS
• Beverly Hendelman, MD
• Jocelyn Marie Herman, O.D.
• Euneece Hong
• Kendra Ireigbe, PA-C
• Paige Jablon, DDS
• Keelan Raphael Jackson
• Jeremiah Raeman Juarez, DMD

• Dentist in Parris Island, SC
• Providers in Parris Island, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.