Maureen M Holley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12721 Issued in FL

Practice address

2075 S Kanner Hwy
Stuart, FL 34994-4609

Phone

(772) 288-9901

Fax

(772) 288-9981

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sorella Dental Collective PLLC

  • General Practice Dentistry
  • Stuart, FL
  • NPI 1780595538
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730252818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 SW DANFORTH CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907704",
            "telephone_number": "772-283-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944609",
            "telephone_number": "772-288-9901",
            "fax_number": "772-288-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "MAUREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy #16263)
• Holiday CVS LLC (CVS Pharmacy #03196)
• Holistic Gynecology of the Treasurecoast
• Abrianna Holladay
• Daniel T Holley, MD
• Tracey Holley
• Frances Palmer Holliday
• Kenneth L Holling, MD
• Chelsea Hollingsworth, PT
• Davaughn Nakai Hollins, RBT

• General Practice Dentistry in Stuart, FL
• Providers in Stuart, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.