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General NPI Number Information
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NPI Number | 1295184026
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Entity Type | Individual
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Provider Name | KARA A HOLIFIELD DDS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 4224 W SUNSET AVE SUITE B
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City | SPRINGDALE
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State | AR
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Zip | 72762-4960
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Country | US
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Telephone | 479-235-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 N PYRITE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-5642
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4093
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License Number State | AR
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