Ashley Adams Holloman, DDS

Individual provider Active NPI General Practice Dentistry · Oklahoma City, OK

NPI 1992997811 · NPPES record last updated May 26, 2010

Key facts

NPI
1992997811
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5950 (OK)
Practice address
5222 N. Portland Avenue
Oklahoma City, OK 73112
Phone
(405) 947-1525
Fax
(405) 947-6716
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5950OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiling Faces MWC PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5950 OK Yes

Addresses

Primary practice location

5222 N. Portland Avenue
Oklahoma City, OK 73112

Mailing address

5222 N. Portland Avenue
Oklahoma City, OK 73112
Phone (405) 947-1525

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.