MEDICARE: DR. JESS LEE HOLLER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12007999	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	184293	OTHER	IN	UNITED CONDORDIA

General Provider Information

NPI Number	:	1326087511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESS LEE HOLLER D.D.S.

Provider Business Mailing Address
First Line	:	1024 LAFAYETTE AVE
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47804-2932
Country	:	US
Telephone Number	:	812-232-6654
Fax Number	:	812-232-4255

Provider Business Practice Location Address
First Line	:	1024 LAFAYETTE AVE
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47804-2932
Country	:	US
Telephone Number	:	812-232-6654
Fax Number	:	812-232-4255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1649898370 — MARK JOSEPH SCHMITZ DDS
Practice Location Address:

1024 LAFAYETTE AVE
TERRE HAUTE, IN
47804-2932

Practice Phone: 812-645-2248
Practice Fax:

1427628684 — ELITE SMILES DENTAL, LLC
Practice Location Address:

1024 LAFAYETTE AVE
TERRE HAUTE, IN
47804-2932

Practice Phone: 812-234-7322
Practice Fax:

1447981543 — MICHAEL VINCENT PUROL PMHNP
Practice Location Address:

620 8TH AVE
TERRE HAUTE, IN
47804-2771

Practice Phone: 812-231-8323
Practice Fax: 812-231-3718

1336142587 — MARY A. FLYNN M.D.
Practice Location Address:

1606 N 7TH ST
TERRE HAUTE, IN
47804-2706

Practice Phone: 812-244-0100
Practice Fax: 812-232-1517

1780687921 — GERALD J. LONGA M.D.
Practice Location Address:

1606 N 7TH ST
TERRE HAUTE, IN
47804-2706

Practice Phone: 812-232-9557
Practice Fax: 812-232-1517

1346243508 — RAMONA C JORA M.D.
Practice Location Address:

1606 N 7TH ST
TERRE HAUTE, IN
47804-2706

Practice Phone: 812-244-0100
Practice Fax: 812-232-1517

Directions to “ DR. JESS LEE HOLLER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.