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MARTIN DENTISTRY PC
NPI 1730757691
Clinic/Center - Dental in Elizabethton, TN

Active since June 16, 2021
417 HUDSON DR, ELIZABETHTON, TN 37643(423) 543-4141 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2021, Jun 16, 2021 (2 updates tracked since 2021).

About Martin Dentistry Pc NPPES

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

MARTIN DENTISTRY PC (NPI 1730757691), doing business as Dr. Jack Holly, Dds, is a healthcare organization registered as a dental in Elizabethton, Tennessee and active in the NPI registry since June 2021. The organization lists Rebecca Arnold, Revenue Manager, as its authorized official.

NPPES Registry Identity

NPI1730757691
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARTIN DENTISTRY PC
Location Address417 HUDSON DRElizabethton, TN 37643-2881
Mailing Address417 Hudson DrElizabethton, TN 37643-2881 · (423) 543-4141
Phone(423) 543-4141
Organization SubpartYes
Authorized OfficialRebecca ArnoldRevenue Manager · (423) 247-8172
Enumeration DateJune 16, 2021
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1730757691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
417 HUDSON DR, Elizabethton, TN 37643
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Other Names 1

Doing Business AsDr. Jack Holly, Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JACK L HOLLY JR. DDS
Dentist (General Practice)
417 HUDSON DR
ELIZABETHTON, TN 37643
Carter County (423) 543-4141
SANDRA LYNN SHELL RDH
Dental Hygienist
417 HUDSON DR
ELIZABETHTON, TN 37643
Carter County (423) 543-4141

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 Martin Dentistry PC's NPI number?

The NPI number for Martin Dentistry PC is 1730757691. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Dr. Jack Holly, DDS.

Where is Martin Dentistry PC located?

Martin Dentistry PC is located at 417 Hudson Dr, Elizabethton, TN 37643. The listed phone number is (423) 543-4141.

What is Martin Dentistry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Martin Dentistry PC accept?

Health plans from UnitedHealthcare list Martin Dentistry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Dentistry PC was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.