Individual provider · Type 1 NPI

John Kevin Holman, DMD MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Tupelo, MS

NPI number 1124115134 Active

Practice location

99 Park Gate Dr
Tupelo, MS 38801-3006

Fax (662) 842-1769

Mailing address

PO Box 526
Tupelo, MS 38802-0526

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XOR29095 (MS)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124115134

John Kevin Holman, DMD MSD's National Provider Identifier is 1124115134, issued on Oct 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tupelo, MS. The record was last updated on Jul 8, 2007.