Active NPIIndividual provider

Dr. Stephen A Holly, DMD

Dentist in Westfield, New Jersey

NPI Number1336693753
Practice location
440 E Broad St, Westfield, NJ 07090-2124
Fax
—
Last updated
September 22, 2022

Stephen Alexander Holly is a Dentist based in Westfield, NJ. Stephen Alexander Holly practices in Westfield, NJ and has the professional credentials of DMD. The NPI Number for Stephen Alexander Holly is 1336693753 and holds a License No. D10581 (OR). The current practice location address for Stephen Alexander Holly is 440 E Broad St, Westfield, NJ 07090-2124 and can be reached out via phone at 908-356-6317.

Provider Profile Details

NPI Number
1336693753
Provider Name
Stephen Alexander Holly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
440 E Broad St, Westfield, NJ 07090-2124
Phone Number
908-356-6317
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2016
Last Update Date
September 22, 2022
Certification Date
September 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 E Broad St
Westfield, NJ 07090-2124
Zip
07090-2124
Phone Number
908-356-6317
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
440 E Broad St
Westfield, NJ 07090-2124
City
Westfield
State
NJ
Zip
07090-2124
Phone Number
908-356-6317

License Information

License Number (1)
D10581
License State (1)
OR
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DS041025
License State (2)
PA
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
22DI02921300
License State (3)
NJ
Taxonomy (3)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephen A Holly, DMD?

The NPI number of Dr. Stephen A Holly, DMD is 1336693753. It was assigned on August 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen A Holly, DMD?

Dr. Stephen A Holly, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number D10581.

Where does Dr. Stephen A Holly, DMD practice?

The practice location is 440 E Broad St, Westfield, NJ 07090-2124. The office can be reached at 908-356-6317 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336693753 directly on the NPPES registry website.

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