Sally Grant Holliday, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN013947 Issued in GA

Practice address

11 Business Center Dr
Suite 105
Eastanollee, GA 30538-3254

Phone

(864) 723-5220

NPI assigned

Sep 24, 2008

Last updated

Aug 31, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Holliday Orthodontics

  • Dental Clinic/Center
  • Eastanollee, GA
  • NPI 1407089055
  NPD (past) Authorized official
• Seneca Orthodontics, LLC

  • Dental Clinic/Center
  • Seneca, SC
  • NPI 1265743785
  NPD (past) Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1881844082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REMUS DR",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296914927",
            "telephone_number": "864-723-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BUSINESS CENTER DR",
            "address_2": "SUITE 105",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383254",
            "telephone_number": "864-723-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "SALLY",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013947",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "4621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortney Eye Care, LLC
• Ashley Ayn Fortney, O.D.
• Georgia Mountains Community Services (Avita Community Partners)
• Logan Marjorie Griffin, OTR/L
• Holliday Orthodontics
• Independent Physical Therapy of Ga, LLC
• Lincare Inc.
• Lowery Dental Group PC
• Elizabeth Bailey Lowery, D.M.D.
• Vasco. Alexander Lowery III, D.M.D

• Orthodontics and Dentofacial Orthopedics Dentistry in Eastanollee, GA
• Providers in Eastanollee, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.