BRAD HOLIFIELD, D.M.D., P.A.
NPI 1780764902
Dentist - Periodontics in Laurel, MS

Active since October 16, 2006
3221 AUDUBON DR, LAUREL, MS 39440(601) 649-3900(601) 518-7860 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brad Holifield, D.m.d., P.a. NPPES

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

BRAD HOLIFIELD, D.M.D., P.A. (NPI 1780764902) is a healthcare organization registered as a periodontics in Laurel, Mississippi and active in the NPI registry since October 2006. The organization lists Brad Holifield, Doctor / President, as its authorized official.

NPPES Registry Identity

NPI1780764902
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBRAD HOLIFIELD, D.M.D., P.A.
Location Address3221 AUDUBON DRLaurel, MS 39440-1422
Mailing Address3221 Audubon DrLaurel, MS 39440-1422 · (601) 649-3900 · Fax (601) 518-7860
Fax(601) 518-7860
Organization SubpartNo
Authorized OfficialBrad HolifieldDoctor / President · (601) 577-2723
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 6, 2016
NPI 1780764902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MS · PER-201-87
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3221 AUDUBON DR, Laurel, MS 39440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
3221 AUDUBON DR
LAUREL, MS 39440
Dentist
3221 AUDUBON DR
LAUREL, MS 39440
Dentist (General Practice)
3221 AUDUBON DR
LAUREL, MS 39440
Dentist (General Practice)
3221 AUDUBON DR
LAUREL, MS 39440
Dentist (General Practice)
3221 AUDUBON DR
LAUREL, MS 39440

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 Brad Holifield, D.M.D., P.A.'s NPI number?

The NPI number for Brad Holifield, D.M.D., P.A. is 1780764902. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Brad Holifield, D.M.D., P.A. located?

Brad Holifield, D.M.D., P.A. is located at 3221 Audubon Dr, Laurel, MS 39440. The listed phone number is (601) 649-3900.

What is Brad Holifield, D.M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Brad Holifield, D.M.D., P.A. was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.