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NPI Code Detail

MEDICARE: MR. JOHN E HOLMES DDS

MEDICARE: MR. JOHN E HOLMES DDS
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
11223G0001XGeneral Practice Dentistry25855TX
21223G0001XGeneral Practice Dentistry11235MO

General Provider Information

NPI Number : 1679677876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN E HOLMES DDS
Provider Business Mailing Address
First Line : 1731 E NORTH AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-2130
Country : US
Telephone Number : 816-322-3506
Fax Number : 816-322-3506
Provider Business Practice Location Address
First Line : 1731 E NORTH AVE
Second Line :
City : BELTON
State : MO
Zip : 64012
Country : US
Telephone Number : 816-322-3506
Fax Number : 816-322-3506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2006
Last Update Date : 08/13/2019

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Directions to “ MR. JOHN E HOLMES DDS” Practice Location

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