Dustin B Holladay in Myrtle Beach - Dentist
Dustin B Holladay - NPI 1942377064
Dustin B Holladay is a Dentist in Myrtle Beach, South Carolina. Dustin B Holladay practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dustin B Holladay is 1942377064. The last update date is 2008-07-22.
Dustin B Holladay's current location address is 220 Middleburg Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8439033111 and fax number 8439033110. The mailing address for Dustin B Holladay is 220 Middleburg Dr, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin B Holladay |
|---|---|
| Address | 220 Middleburg Dr, Myrtle Beach, South Carolina |
| Phone Number | 8439033111 |
| Fax Number | 8439033110 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1942377064 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 220 Middleburg Dr |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 29579 |
| Phone Number | 8439033111 |
| Fax Number | 8439033110 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4126 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Dustin B Holladay by the Centers for Medicare & Medicaid Services?
The Dustin B Holladay has been assigned the NPI (National Provider Identifier) 1942377064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dustin B Holladay's physical address?
The Dustin B Holladay is physically located at 220 Middleburg Dr, in the city of Myrtle Beach, SC, with the postal code 29579.
What is Dustin B Holladay's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dustin B Holladay is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Dustin B Holladay receive its 1942377064 assignment from the Centers for Medicare & Medicaid Services?
The Dustin B Holladay was assigned its 1942377064 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information pertaining to Dustin B Holladay most recently updated or revised?
The details related to Dustin B Holladay, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.