Healthcare Provider Details

I. General information

NPI: 1306772793
Provider Name (Legal Business Name): ARIEL HOLLIDAY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 HEALTH CENTER DR
UNION WV
24983-8463
US

IV. Provider business mailing address

507 MORAN AVE
SALEM VA
24153-6218
US

V. Phone/Fax

Practice location:
  • Phone: 304-772-3333
  • Fax:
Mailing address:
  • Phone: 681-318-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4859
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: