Holliday Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013947 Issued in GA

Legal business name

HOLLIDAY ORTHODONTICS

Practice address

11 Business Center Dr
Suite 105
Eastanollee, GA 30538-3254

Phone

(706) 827-0088

NPI assigned

Aug 31, 2009

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sally Grant Holliday, D.M.D, M.S.NPI 1881844082

Title

Ceo

Phone

(864) 723-5220

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Grant Holliday, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eastanollee, GA
  • NPI 1881844082
  NPD (past) Authorized official

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1407089055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUSINESS CENTER DR",
            "address_2": "SUITE 105",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383254",
            "telephone_number": "706-827-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BUSINESS CENTER DR",
            "address_2": "SUITE 105",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383254",
            "telephone_number": "706-827-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-723-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4621",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Esco
• Fortney Eye Care, LLC
• Ashley Ayn Fortney, O.D.
• Georgia Mountains Community Services (Avita Community Partners)
• Logan Marjorie Griffin, OTR/L
• Sally Grant Holliday, DMD, MS
• Independent Physical Therapy of Ga, LLC
• Lincare Inc.
• Lowery Dental Group PC
• Elizabeth Bailey Lowery, D.M.D.

• Dental Clinic/Center in Eastanollee, GA
• Providers in Eastanollee, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.