Sidney Anthony Holleman in Fort Worth - General Practice

Sidney Anthony Holleman - NPI 1972517126

Sidney Anthony Holleman is a General Practice in Fort Worth, Texas. Sidney Anthony Holleman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sidney Anthony Holleman is 1972517126. The last update date is 2010-07-15.

Sidney Anthony Holleman's current location address is 1116 S Henderson St, Fort Worth, Texas. You can contact this provider via phone number 8173366048 and fax number 8173340621. The mailing address for Sidney Anthony Holleman is 1116 S Henderson St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Sidney Anthony Holleman
Address 1116 S Henderson St, Fort Worth, Texas
Phone Number 8173366048
Fax Number 8173340621
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1972517126
Provider Enumeration Date 2006-07-27
Last Updated Date 2010-07-15

Provider Mailing Address Detail

Address 1116 S Henderson St
City Fort Worth
State Texas (TX)
Post Code 761044430
Phone Number 8173366048
Fax Number 8173340621

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8786
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M473 TX BCBS ID #

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FAQs about Sidney Anthony Holleman

What is the unique 10-digit identification code assigned to Sidney Anthony Holleman by the Centers for Medicare & Medicaid Services?

The Sidney Anthony Holleman has been issued the NPI (National Provider Identifier) 1972517126, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Sidney Anthony Holleman is geographically located?

The Sidney Anthony Holleman is physically situated at the following location: 1116 S Henderson St, Fort Worth, TX, 761044430.

What is Sidney Anthony Holleman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sidney Anthony Holleman's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date was the 1972517126 assigned to Sidney Anthony Holleman?

The Sidney Anthony Holleman was issued its 1972517126 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sidney Anthony Holleman most recently updated?

The details pertaining to the Sidney Anthony Holleman, including its address, specialty, and other relevant information, were last refreshed on 2010-07-15.

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