Richard D Holley, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D4573 Issued in AZ

Legal business name

RICHARD D HOLLEY, DDS, PC

Practice address

20950 N Tatum Blvd
#350
Phoenix, AZ 85050-4200

Phone

(480) 473-3111

Fax

(480) 473-3114

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Dwight Holley Jr., DDS

Title

President

Phone

(480) 473-3111

Specialties & licenses 1

Addresses

Other names 1

• The Smile Institute Doing business as

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1952596058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "#350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-473-3111",
            "fax_number": "480-473-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "#350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-473-3111",
            "fax_number": "480-473-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D HOLLEY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-473-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D4573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Marie Rich
• Cameron Rich, LPC
• Gregory Rich
• Stephanie Lavon Rich, M.S.
• Richard a. Snider, MD, PC
• Richard E Feldhake DMD and Associated PC
• Richard H Daley, MD,PC
• Richard J Harding MD PC
• Richard Lee Averitte Jr PLLC
• Richard P Shaughnessy, IV D.O. PLLC

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.