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Individual

MR. ROBERT BRIAN HOLLINGSWORTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1995 PEPPERELL PARKWAY, STE 1, OPELIKA, AL 36801
(334) 745-4663
(334) 745-4654
Mailing address
1995 PEPPERELL PARKWAY, STE 1, OPELIKA, AL 36801
(334) 745-4663
(334) 745-4654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5164
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1314595
UNITED CONCORDIA
01
51000510
BCBS
AL
Enumeration date
02/01/2006
Last updated
07/08/2007
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