MEDICARE: DR. RUSSELL LANE HOLDERNESS 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
1	122300000X	Dentist	DN31046	FL

General Provider Information

NPI Number	:	1679808166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL LANE HOLDERNESS DDS

Provider Business Mailing Address
First Line	:	522 PINE RANCH EAST RD
Second Line	:
City	:	OSPREY
State	:	FL
Zip	:	34229-8973
Country	:	US
Telephone Number	:	703-966-4674
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 JACARANDA BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34292
Country	:	US
Telephone Number	:	703-966-4674
Fax Number	:

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

Provider Enumeration Date	:	10/16/2009
Last Update Date	:	04/10/2026

Similar Medicare Providers

1326763921 — MADELINE GRANT PA-C
Practice Location Address:

836 SUNSET LAKE BLVD STE 101
VENICE, FL
34292-7555

Practice Phone: 941-408-0500
Practice Fax: 941-496-8558

1689996969 — SUNCOAST EYEHEALTH P.A.
Practice Location Address:

101 CAPRI ISLES BLVD STE 101
VENICE, FL
34292-3209

Practice Phone: 941-485-4868
Practice Fax: 941-300-5898

1902740699 — INTEGRATIVE WELLNESS THERAPY
Practice Location Address:

1600 CENTER RD
VENICE, FL
34292-3841

Practice Phone: 941-297-3570
Practice Fax:

1518429166 — MHC AREA 8, LLC
Practice Location Address:

1790 E VENICE AVE STE 201
VENICE, FL
34292-3191

Practice Phone: 941-787-7606
Practice Fax:

1518664523 — NICOLE DAHLENBURG OTR/L
Practice Location Address:

1600 CENTER RD
VENICE, FL
34292-3841

Practice Phone: 678-294-9173
Practice Fax:

1275535536 — DR. VINAY KUMAR PUCHALAPALLI REDDY MD
Practice Location Address:

411 COMMERCIAL CT STE C
VENICE, FL
34292-1650

Practice Phone: 813-333-5080
Practice Fax: 813-773-7717

Directions to “ DR. RUSSELL LANE HOLDERNESS DDS” 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.