Joseph Holmes, D.D.S
Individual provider Active NPI Dentist · Wauchula, FL
NPI 1245634765 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1245634765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN 10682 (FL)
- Practice address
- 203 S 7TH Ave
Wauchula, FL 33873-2803 - Phone
- (863) 773-9852
- Fax
- (863) 773-5005
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 10682 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentalcentre of West FL. PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 10682 | FL | Yes |
Addresses
Primary practice location
203 S 7TH Ave
Wauchula, FL 33873-2803
Mailing address
203 S 7TH Ave
Wauchula, FL 33873-2803
Phone (863) 773-9852
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.