Individual
DR. JESS LEE HOLLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1024 LAFAYETTE AVE, TERRE HAUTE, IN 47804-2932
(812) 232-6654
(812) 232-4255
Mailing address
1024 LAFAYETTE AVE, TERRE HAUTE, IN 47804-2932
(812) 232-6654
(812) 232-4255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007999
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184293
UNITED CONDORDIA
IN
Enumeration date
06/05/2006
Last updated
07/08/2007
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