Individual provider · Type 1 NPI

Jack L. Holly Jr., DDS

General Practice Dentistry · Elizabethton, TN

NPI number 1346364593 Active

Practice location

417 Hudson Dr
Elizabethton, TN 37643-2881

Call (423) 543-4141 Map

Fax (423) 543-6606

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS2986 (TN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1346364593

Jack L. Holly Jr., DDS's National Provider Identifier is 1346364593, issued on Mar 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elizabethton, TN. The record was last updated on Jul 8, 2007.