RANDOLPH HOLLY DDS
NPI 1871663427
Dentist - Oral and Maxillofacial Surgery in Endicott, NY

Q: What is Randolph Holly's NPI number?

The NPI number for Randolph Holly is 1871663427. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Randolph Holly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Holly was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 09, 2006

1003 MONROE STREET, ENDICOTT, NY 13760(607) 757-0455(607) 757-9375 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Randolph Holly Dds NPPES

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

RANDOLPH HOLLY DDS (NPI 1871663427) is an individual oral and maxillofacial surgery provider in Endicott, New York, licensed in New York (0369901) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1871663427

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameRANDOLPH HOLLYCredential: DDS

Location Address1003 MONROE STREETEndicott, NY 13760

Mailing Address1003 Monroe StEndicott, NY 13760-5221 · (607) 757-0455 · Fax (607) 757-9375

Phone(607) 757-0455

Fax(607) 757-9375

Sole ProprietorYes

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871663427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 0369901

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1003 MONROE STREET, Endicott, NY 13760

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Other Identifiers 1

Medicare UPINU06276NY

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 Randolph Holly's NPI number?

The NPI number for Randolph Holly is 1871663427. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Randolph Holly located?

Randolph Holly practices at 1003 Monroe Street, Endicott, NY 13760. The listed phone number is (607) 757-0455.

What is Randolph Holly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Randolph Holly was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.