MEDICARE: DR. VALERIE 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
1	122300000X	Dentist	11201	MD
2	1223G0001X	General Practice Dentistry	11201	MD

General Provider Information

NPI Number	:	1073524427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE E. HOLMES DDS

Provider Business Mailing Address
First Line	:	CHAFFEE RD BLDG 128
Second Line	:
City	:	FORT BLISS
State	:	TX
Zip	:	79916-7011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CHAFFEE RD BLDG 128
Second Line	:
City	:	FORT BLISS
State	:	TX
Zip	:	79916-7011
Country	:	US
Telephone Number	:	915-568-5935
Fax Number	:

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	08/04/2016

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