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Provider Information for 1871507319

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JAMES WHITEING HOLLEY, IV D.D.S.

Gender: MALE

Individual NPI: 1871507319

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1871507319
Enumeration Date 2006-07-28
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 446 EFFINGHAM ST
PORTSMOUTH, VA 23704-3416
United States

Phone: 757-393-2401 | Fax: 757-393-4462
View Map External Link
Primary Practice Address 446 EFFINGHAM ST
PORTSMOUTH, VA 23704-3416
United States

Phone: 757-393-2401 | Fax: 757-393-4462
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other DELTA DENTAL VA 7431
Other UNITED CONCORDIA VA 901912
Other H.K.P. VA 054734
Other CIGNA VA 118556
Other BC/BS FEDERAL VA 145830
Other BLUE CROSS BLUE SHIELD VA 054734
MEDICAID VA 106564
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 007431