Ray Holder in Jackson - Dentist

Ray Holder - NPI 1649309634

Ray Holder is a Dentist in Jackson, Mississippi. Ray Holder practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ray Holder is 1649309634. The last update date is 2007-07-08.

Ray Holder's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019856028 and fax number 6019846039. The mailing address for Ray Holder is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Ray Holder
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019856028
Fax Number 6019846039
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1649309634
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019856028
Fax Number 6019846039

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2413-88
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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FAQs about Ray Holder

What is the unique identifier code issued to Ray Holder by the Centers for Medicare & Medicaid Services?

The Ray Holder has been assigned the NPI (National Provider Identifier) 1649309634. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Ray Holder?

The Ray Holder is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.

What is the Ray Holder's specialty and taxonomy code?

The Ray Holder's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Ray Holder receive its 1649309634 assignment from the Centers for Medicare & Medicaid Services?

The Ray Holder was assigned its 1649309634 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date was the information pertaining to Ray Holder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ray Holder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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