Individual
MARK HOLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
382 TENNESSEE AVE N, PARSONS, TN 38363-2024
(731) 847-6625
(731) 847-4628
Mailing address
382 TENNESSEE AVE N, PARSONS, TN 38363-2024
(731) 847-6625
(731) 847-4628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS5231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202794876
TAX ID
TN
Enumeration date
01/11/2007
Last updated
07/08/2007
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