Individual
MR. NEIL DAVIS HOLLYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
645 PARK BLVD, MARION, VA 24354
(276) 783-8131
(276) 783-1839
Mailing address
645 PARK BLVD, MARION, VA 24354
(276) 783-8131
(276) 783-1839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401005753
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178619
—
VA
Enumeration date
08/19/2006
Last updated
07/19/2010
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