Individual
DR. MICHAEL HOLMES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
404 S 5TH ST, GADSDEN, AL 35901-5102
(256) 546-4604
(256) 546-4674
Mailing address
404 S 5TH ST, GADSDEN, AL 35901-5102
(256) 546-4604
(256) 546-4674
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51516050
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/10/2006
Last updated
07/09/2007
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