Individual
JAMES WHITEING HOLLEY, IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
446 EFFINGHAM ST, PORTSMOUTH, VA 23704-3416
(757) 393-2401
(757) 393-4462
Mailing address
446 EFFINGHAM ST, PORTSMOUTH, VA 23704-3416
(757) 393-2401
(757) 393-4462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007431
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054734
BLUE CROSS BLUE SHIELD
VA
05
—
106564
—
VA
01
—
118556
CIGNA
VA
01
—
145830
BC/BS FEDERAL
VA
01
—
7431
DELTA DENTAL
VA
01
—
901912
UNITED CONCORDIA
VA
Enumeration date
07/28/2006
Last updated
07/08/2007
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