Brad Holifield, D.M.D., P.a.
Organization Active NPI Periodontics · Laurel, MS
NPI 1780764902 · NPPES record last updated Apr 6, 2016
Key facts
- NPI
- 1780764902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Periodontics 1223P0300X
- License
- PER-201-87 (MS)
- Legal business name
- BRAD HOLIFIELD, D.M.D., P.A.
- Practice address
- 3221 Audubon Dr
Laurel, MS 39440-1422 - Phone
- (601) 649-3900
- Fax
- (601) 518-7860
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Brad Holifield, D.M.D.
- Title
- Doctor / President
- Phone
- (601) 577-2723
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics |
1223P0300X | PER-201-87 | MS | Yes |
Addresses
Primary practice location
3221 Audubon Dr
Laurel, MS 39440-1422
Mailing address
3221 Audubon Dr
Laurel, MS 39440-1422
Phone (601) 649-3900
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2016. 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.