Active NPI
Ed Holliday, D.M.D., Inc.
- General Practice Dentistry
- Tupelo, MS
National Provider Identifier
1467661983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 87-2345
- Legal business name
- ED HOLLIDAY, D.M.D., INC.
- Practice address
- 901 Garfield St
Tupelo, MS 38801-5737 - Phone
- (662) 844-6464
- Fax
- (662) 842-2161
- NPI assigned
- May 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Troy Holliday, D.M.D.
- Title
- President
- Phone
- (662) 844-6464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 87-2345 | MS | Primary |
Addresses
Primary practice location
901 Garfield St
Tupelo, MS 38801-5737
Mailing address
901 Garfield St
Tupelo, MS 38801-5737
Phone (662) 844-6464
National Provider Directory
National Provider DirectoryLocations
901 Garfield St
Tupelo, MS 38801
Phone (662) 844-6464
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Tupelo, MS
- NPI 1548699861
-
- General Practice Dentistry
- Tupelo, MS
- NPI 1043941115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467661983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 GARFIELD ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015737",
"telephone_number": "662-844-6464",
"fax_number": "662-842-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GARFIELD ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015737",
"telephone_number": "662-844-6464",
"fax_number": "662-842-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ED HOLLIDAY, D.M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLLIDAY",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "TROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-844-6464",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "87-2345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.