# RICHARD M HOLMES DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indian Trail Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689716599
- **Authorized official:** DR. RICHARD MARK HOLMES DMD, PA (OWNER)
- **Authorized official phone:** (704) 821-7222

## Contact information

- **Practice address:** 136 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9669
- **Practice address phone:** (704) 821-7222
- **Practice address fax:** (704) 821-4310
- **Mailing address:** PO BOX 338, INDIAN TRAIL, NC 28079-0338
- **Mailing address phone:** (704) 821-7222
- **Mailing address fax:** (704) 821-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC6039 | NC | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020