Edward Holliday, D.M.D.
Individual provider Active NPI General Practice Dentistry · Tupelo, MS
NPI 1548699861 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1548699861
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2345-87 (MS)
- Practice address
- 901 Garfield St
Tupelo, MS 38801-5737 - Phone
- (662) 844-6464
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2345-87 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ed Holliday, D.M.D., Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2345-87 | MS | Yes |
Addresses
Primary practice location
901 Garfield St
Tupelo, MS 38801-5737
Mailing address
901 Garfield St
Tupelo, MS 38801-5737
Phone (662) 844-6464
Other providers in Tupelo, MS
- Gloria Temple Holland
- Mikayla N Holland
- Brandon Holley
- Elizabeth Ashley Holley
- Mary Holley
- Hollie Moffatt Pmhnp-BC LLC
- Amber Hollis
- Leanna L. Hollis
- Haley Swindle Holloway
- John Kevin Holman
All providers in Tupelo, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. 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.