Skip Navigation

Provider Information for 1871507319



JAMES WHITEING HOLLEY, IV D.D.S.

Gender: MALE

Individual NPI: 1871507319

Calendar Last Updated: 2007-07-08

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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 007431
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
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location