# HOLLEY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306032610
- **Authorized official:** DR. JAMES W HOLLEY IV D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (757) 595-3503

## Contact information

- **Practice address:** 446 EFFINGHAM ST, PORTSMOUTH, VA 23704-3416
- **Practice address phone:** (757) 393-2401
- **Practice address fax:** (757) 595-3816
- **Mailing address:** 446 EFFINGHAM ST, PORTSMOUTH, VA 23704-3416
- **Mailing address phone:** (757) 393-2401
- **Mailing address fax:** (757) 595-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0470107431 | VA | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7831587 | — | VA |