Jack Carter Holley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN31951 Issued in FL

Practice address

9200 113TH St
Seminole, FL 33772-2800

Phone

(727) 893-5050

NPI assigned

May 22, 2023

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1376235259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 3RD AVE S APT 107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722800",
            "telephone_number": "727-893-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "JACK",
        "middle_name": "CARTER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Louis Hoffman, D.P.M.
• Semira Hoffmann
• Holiday CVS LLC
• Holiday CVS LLC
• Gary G Holland, MD
• Julie Elizabeth Holmes Shaw, M.A., SLP/CCC
• Erik Konrad Holz, D.M.D.
• Alexis Elizabeth Hoopes, PT, DPT
• Lisa Hopkins-Scott
• Joann Carol Horianopoulos, PTA

• General Practice Dentistry in Seminole, FL
• Providers in Seminole, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.