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Randolph Holly, DDS
Oral and Maxillofacial Surgery (Dentist) in Endicott, New York
NPI 1871663427

Randolph Holly is a Oral and Maxillofacial Surgery (Dentist) based in Endicott, NY and is specialized in Oral and Maxillofacial Surgery. Randolph Holly practices in Endicott, NY and has the professional credentials of DDS. The NPI Number for Randolph Holly is 1871663427 and holds a License No. 0369901 (New York).

The current practice location address for Randolph Holly is 1003 Monroe Street, Endicott, NY and can be reached out via phone at 607-757-0455 and via fax at 607-757-9375.

Location: 1003 Monroe Street, Endicott, NY, 13760-5221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871663427
Provider Name
Randolph Holly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1003 Monroe Street, Endicott, NY, 13760-5221
Phone Number
607-757-0455
Fax Number
607-757-9375
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1003 Monroe Street
City
Endicott
State
New York
Zip
13760
Phone Number
607-757-0455
Fax Number
607-757-9375
person
Provider Business Mailing Address Details
Address
1003 Monroe Street
City
Endicott
State
New York
Zip
13760
Phone Number
607-757-0455
Fax Number
607-757-9375
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0369901 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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