Active NPIIndividual provider

Dr. Holly A Gorsen, DMD

Dentist in Vineland, New Jersey

NPI Number1447586243
Practice location
1017 East Landis Ave, Vineland, NJ 08360
Fax
856-692-3068
Last updated
August 12, 2020

Holly Ann Gorsen is a Dentist based in Vineland, NJ. Holly Ann Gorsen practices in Vineland, NJ and has the professional credentials of DMD. The NPI Number for Holly Ann Gorsen is 1447586243 and holds a License No. 22dI02418000 (NJ). The current practice location address for Holly Ann Gorsen is 1017 East Landis Ave, Vineland, NJ 08360 and can be reached out via phone at 856-692-4670 and via fax at 856-692-3068.

Provider Profile Details

NPI Number
1447586243
Provider Name
Holly Ann Gorsen
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1017 East Landis Ave, Vineland, NJ 08360
Phone Number
856-692-4670
Fax Number
856-692-3068
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Other Names
Dr. Holly Ann Eldridge, DMD (Former Name)
Provider Enumeration Date
October 29, 2009
Last Update Date
August 12, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1017 East Landis Ave
Vineland, NJ 08360
Zip
08360
Phone Number
856-692-4670
Fax Number
856-692-3068
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1017 East Landis Ave
Vineland, NJ 08360
City
Vineland
State
NJ
Zip
08360
Phone Number
856-692-4670
Fax Number
856-692-3068

License Information

License Number
22dI02418000
License State
NJ
Taxonomy
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. Holly A Gorsen, DMD?

The NPI number of Dr. Holly A Gorsen, DMD is 1447586243. It was assigned on October 29, 2009 and is currently active in the NPPES registry.

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

Dr. Holly A Gorsen, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22dI02418000.

Where does Dr. Holly A Gorsen, DMD practice?

The practice location is 1017 East Landis Ave, Vineland, NJ 08360. The office can be reached at 856-692-4670 (phone) or 856-692-3068 (fax).

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 1447586243 directly on the NPPES registry website.

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