Gabriel Martin Holley, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8212 Issued in SC

Practice address

110A Hospital Dr
Simpsonville, SC 29681-3226

Phone

(304) 377-0014

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Practice roles

Locations

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

• Holley Endodontics, PA

  • Dental Clinic/Center
  • Simpsonville, SC
  • NPI 1962932210
  NPD Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1215224738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110A HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-987-7030",
            "fax_number": "864-987-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110A HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "304-377-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "GABRIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "817",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8212",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Clark Hodges, DMD
• Kandice Fay Hodges, PHARM. D.
• Laura Rebecca Hofto, DMD
• Beth Hollenbeck, OTR
• Holley Endodontics, PA
• Holly Tree Family Dental, PA
• Holly Tree Family Practice
• Holly Tree Pediatric Dentistry
• Crystal Holmes
• Rebecca H Holmes, D.M.D.

• General Practice Dentistry in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.