Holly Dental PLLC
Organization Active NPI General Practice Dentistry · Gladewater, TX
NPI 1992383640 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1992383640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- HOLLY DENTAL PLLC
- Practice address
- 1050 E Broadway Ave
Suite 102
Gladewater, TX 75647 - Phone
- (903) 707-8941
- Fax
- (903) 765-5309
- NPI assigned
- Apr 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Vineet Sharma, DDS
- Title
- Owner/Dentist
- Phone
- (903) 707-8941
National Provider Directory
Locations
1050 Broadway Ave
Ste 102
Gladewater, TX 75647
Phone (903) 707-8941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1050 E Broadway Ave
Suite 102
Gladewater, TX 75647
Mailing address
1050 E Broadway Ave
Suite 102
Gladewater, TX 75647
Phone (903) 707-8941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30165 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
Other providers in Gladewater, TX
- GS Physician Services
- Diamond Hardeman
- Nicole Hatfield
- Walter Mark Henry
- William Hollas
- Gregory Stephen Jeffers
- Lynn Karin Jennings
- Joken Inc
- Kcam Consulting
- Kala Brown Kegarise
All providers in Gladewater, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. 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.