Gwendolyn A. Holley in Virginia Beach - General Practice
Gwendolyn A. Holley - NPI 1780721316
Gwendolyn A. Holley is a General Practice in Virginia Beach, Virginia. Gwendolyn A. Holley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gwendolyn A. Holley is 1780721316. The last update date is 2007-07-09.
Gwendolyn A. Holley's current location address is 310 Horace Ave, Virginia Beach, Virginia. You can contact this provider via phone number 7574973279. The mailing address for Gwendolyn A. Holley is 310 Horace Ave, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn A. Holley |
|---|---|
| Address | 310 Horace Ave, Virginia Beach, Virginia |
| Phone Number | 7574973279 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1780721316 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 310 Horace Ave |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234622704 |
| Phone Number | 7574973279 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5542 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9178566 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gwendolyn A. Holley by the Centers for Medicare & Medicaid Services?
The Gwendolyn A. Holley has been assigned the NPI (National Provider Identifier) 1780721316. 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 Gwendolyn A. Holley?
The Gwendolyn A. Holley is situated at 310 Horace Ave, in the city of Virginia Beach, state of VA, with the zip code 234622704.
What is the Gwendolyn A. Holley's area of specialization and corresponding taxonomy classification?
The Gwendolyn A. Holley's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Gwendolyn A. Holley receive the assignment of its 1780721316 from the Centers for Medicare & Medicaid Services?
The Gwendolyn A. Holley was issued its 1780721316 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the details related to Gwendolyn A. Holley most recently updated or revised?
The information pertaining to Gwendolyn A. Holley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.