Stephen Holly DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STEPHEN HOLLY DMD LLC

Practice address

440 E Broad St
Westfield, NJ 07090-2124

Phone

(908) 356-6317

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Holly, DMDNPI 1336693753

Title

Dentist/Owner

Phone

(908) 356-6317

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Alexander Holly, DMD

  • Dentist
  • Westfield, NJ
  • NPI 1336693753
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1891418042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902124",
            "telephone_number": "908-356-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902124",
            "telephone_number": "908-356-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN HOLLY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "908-356-6317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.