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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK CARTER HOLLEY DMD
NPI 1376235259
Student in an Organized Health Care Education/Training Program in Seminole, FL

Active since May 22, 2023
9200 113TH ST, SEMINOLE, FL 33772(727) 893-5050 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, May 22, 2023 (2 updates tracked since 2023).

About Jack Carter Holley Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK CARTER HOLLEY DMD (NPI 1376235259) is an individual student in an organized health care education/training program in Seminole, Florida, licensed in Florida (DN31951) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1376235259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK CARTER HOLLEYCredential: DMD
Location Address9200 113TH STSeminole, FL 33772-2800
Mailing Address430 3rd Ave S Apt 107St Petersburg, FL 33701-4144
Phone(727) 893-5050
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1376235259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · DN31951
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9200 113TH ST, Seminole, FL 33772
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMAR ELRABI
Student in an Organized Health Care Education/Training Program
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 893-5050
SARA ARIANA SARKHAIL DMD
Dentist
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 893-5050
DR. BRIAN LEWIS JAQUES DMD
Dentist (General Practice)
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 394-6905
KENTON D BRANDIMORE DMD
Dentist
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 394-6064
DR. MCKENZI MARIE TAYLOR DDS
Dentist (General Practice)
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 394-6064
DR. ANDREW DAVID SCHAEDLER DMD
Dentist
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 893-5050
DAVID PAUL BUNN DDS
Dentist
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 394-6064
AILEEN CRUZ LEZAMA DMD
Student in an Organized Health Care Education/Training Program
9200 113TH ST
SEMINOLE, FL 33772
Pinellas County (727) 893-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Holley's NPI number?

The NPI number for Jack Holley is 1376235259. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Jack Holley located?

Jack Holley practices at 9200 113th St, Seminole, FL 33772. The listed phone number is (727) 893-5050.

What is Jack Holley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Holley was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.