MEDICARE: HOLLY MARIE CAPPS RDA

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	126800000X	Dental Assistant	10827	TN

General Provider Information

NPI Number	:	1396820304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY MARIE CAPPS RDA

Provider Business Mailing Address
First Line	:	5443 OLD NATCHEZ TRCE
Second Line	:
City	:	PRIMM SPRINGS
State	:	TN
Zip	:	38476-5003
Country	:	US
Telephone Number	:	931-682-0012
Fax Number	:	615-302-4201

Provider Business Practice Location Address
First Line	:	5073 COLUMBIA PIKE
Second Line	:	SUITE 240
City	:	SPRING HILL
State	:	TN
Zip	:	37174-8607
Country	:	US
Telephone Number	:	615-902-4200
Fax Number	:	615-302-4201

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1831184662 — ERIC LAURENCE KOSTER
Practice Location Address:

5073 COLUMBIA PIKE , #100
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-0885
Practice Fax: 615-891-5003

1487612818 — PERRY ALBERT CARLSON R.N., C.P.N.P.
Practice Location Address:

5073 COLUMBIA PIKE , STE 150
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-2990
Practice Fax: 615-302-4638

1821173105 — MRS. SHELLI MARGARET GOSS
Practice Location Address:

5073 COLUMBIA PIKE , SUITE 240
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-4200
Practice Fax:

1285719427 — MRS. PATRICIA A. ROTH R.D.A.
Practice Location Address:

5073 COLUMBIA PIKE
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-4202
Practice Fax: 615-302-4203

1700961984 — MS. LORI JANE LITTLE RDA
Practice Location Address:

5073 COLUMBIA PIKE , SUITE 240
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-4200
Practice Fax:

1962576298 — MELBA JOYCE GOODWIN RDH
Practice Location Address:

5073 COLUMBIA PIKE , SUITE 240
SPRING HILL, TN
37174-8607

Practice Phone: 615-302-4200
Practice Fax: 615-302-4201

Directions to “ HOLLY MARIE CAPPS RDA” 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.