HOLLIDAY ORTHODONTICS
NPI 1407089055
Clinic/Center - Dental in Eastanollee, GA
- Organization
- Clinic/Center
- Dental
About HOLLIDAY ORTHODONTICS
This page provides the complete NPI Profile along with additional information for Holliday Orthodontics, a provider established in Eastanollee, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1407089055 assigned on August 2009. The practitioner's primary taxonomy code is 261QD0000X with license number DN013947 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Sally Grant Holliday D.m.d, M.s. (Ceo)
- NPI
- 1407089055 Verify this NPI
- Provider Name
- HOLLIDAY ORTHODONTICS
- Entity Type
- Organization
- Location Address
- 11 BUSINESS CENTER DR SUITE 105 EASTANOLLEE, GA 30538
- Location Phone
- (706) 827-0088
- Mailing Address
- 11 BUSINESS CENTER DR SUITE 105 EASTANOLLEE, GA 30538
- Mailing Phone
- (706) 827-0088
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2009
- Last Update Date
- 12-11-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- DN013947
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center | 4621 (SC) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
EASTANOLLEE, GA 30538
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407089055, enumerated as an "organization" on August 31, 2009.
The provider is located at 11 BUSINESS CENTER DR SUITE 105 EASTANOLLEE, GA 30538 and the phone number is (706) 827-0088.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.