Davida a. Hollerman D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7837 Issued in TN

Legal business name

DAVIDA A. HOLLERMAN D.M.D., P.C.

Practice address

525 N Main St
Memphis, TN 38105-1635

Phone

(877) 664-8664

Fax

(901) 525-5407

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Davida Ann Hollerman, D.M.D.NPI 1487826806

Title

President

Phone

(901) 679-6090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Davida Ann Hollerman, M.S., D.M.D.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1487826806
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1457579872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S JEFFERSON PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381051635",
            "telephone_number": "877-664-8664",
            "fax_number": "901-525-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDA A. HOLLERMAN D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "HOLLERMAN",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-679-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.