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Dr. Shanna Couch Holliday, DMD
Pediatric Dentist in Hazard, Kentucky
NPI 1508901166

Shanna Couch Holliday is a Pediatric Dentist based in Chavies, KY and is specialized in Pediatric Dentistry. Shanna Couch Holliday practices in Hazard, KY and has the professional credentials of DMD. The NPI Number for Shanna Couch Holliday is 1508901166 and holds a License No. 7633 (Kentucky).

The current practice location address for Shanna Couch Holliday is 251 Morton Blvd, Hazard, KY and can be reached out via phone at 606-439-1079 and via fax at 606-439-3878.

Location: 251 Morton Blvd, Hazard, KY, 41727-8954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508901166
Provider Name
Shanna Couch Holliday
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
251 Morton Blvd, Hazard, KY, 41727-8954
Phone Number
606-439-1079
Fax Number
606-439-3878
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60000262 05 KY
45003811 05 KY
institution
Provider Business Practice Location Address Details
Address
251 Morton Blvd
City
Hazard
State
Kentucky
Zip
41701-9470
Phone Number
606-439-1079
Fax Number
606-439-3878
person
Provider Business Mailing Address Details
Address
251 Morton Blvd
City
Hazard
State
Kentucky
Zip
41701-9470
Phone Number
606-439-1079
Fax Number
606-439-3878
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7633 (Kentucky)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7633 (Kentucky)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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