DR. Jack L Holly JR., DDS
NPI #1346364593 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1346364593
- Entity Type
- Individual
- Name
- DR. Jack L Holly JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 417 HUDSON DR
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2881
- Phone
- (423) 543-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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