Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK L HOLLY JR., DDS
Active Sole ProprietorDR. JACK L HOLLY JR., DDS is a General Dentistry healthcare provider located in ELIZABETHTON, Tennessee. NPI 1346364593 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELIZABETHTON, TN
Registration Details
- NPI Number
- 1346364593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2007 (19.267871886896 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS2986 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
417 HUDSON DRELIZABETHTON, TN, 376432881Browse TN providers · Browse ZIP 37643
- Phone
- 4235434141
- Fax
- 4235436606
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ELIZABETHTON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. VICTOR W. HOPSON | D.D.S. | 1598768368 |
| DR. DONALD KEITH MORLEY SR. | DDS | 1538151626 |
| DR. ESTILL L MILLER | D.D.S. | 1952385338 |
| DR. WILLIAM BOYCE ARMSTRONG | DDS | 1104862937 |
| DR. TROY ALDEN HOOVER | DDS | 1154352359 |
| PHILLIP WESLEY GILMER | D.D.S. | 1346356680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.