Organization Active NPI

Holliday Dental, PA

  • Dentist
  • Greenville, SC
National Provider Identifier
1902087984
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2535 Issued in SC
Legal business name
HOLLIDAY DENTAL, PA
Practice address
119 W Antrim Dr
Greenville, SC 29607-2505
Phone
(864) 233-8639
Fax
(864) 233-9766
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mrs. Janice Holliday
Title
Sec
Phone
(864) 233-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2535 SC Primary

Addresses

Primary practice location

119 W Antrim Dr
Greenville, SC 29607-2505

Mailing address

119 W Antrim Dr
Greenville, SC 29607-2505
Phone (864) 233-8639

National Provider Directory

National Provider Directory

Locations

119 W Antrim Dr
Greenville, SC 29607
Phone (864) 233-8639

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1902087984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-233-8639",
            "fax_number": "864-233-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-233-8639",
            "fax_number": "864-233-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "864-233-8639",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.