Organization
MARTIN DENTISTRY PC
Active
Parent organization
MARTIN DENTISTRY PC
Other names
Dr. Jack Holly, DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN DENTISTRY PC
Authorized official
REBECCA ARNOLD (REVENUE MANAGER)
(423) 247-8172
Entity
Organization
Contact information
Practice address
417 HUDSON DR, ELIZABETHTON, TN 37643-2881
(423) 543-4141
Mailing address
417 HUDSON DR, ELIZABETHTON, TN 37643-2881
(423) 543-4141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
07/23/2021
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