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DR. HEATHER BURNS HOLLEY D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1215074307
Individual Registrant:DR. HEATHER BURNS HOLLEY D.M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
109 HOSPITAL DR LIVINGSTON, AL 35470 US
Tel: 205-652-4607 Fax: 205-652-4609
Tel: 205-652-4607 Fax: 205-652-4609
Contact information for business:
109 HOSPITAL DR LIVINGSTON, AL 35470 US
Tel: 205-652-4607 Fax: 205-652-4609
Tel: 205-652-4607 Fax: 205-652-4609
Registration Information:
NPI: 1215074307
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AL | AL5333 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC BS OF ALABAMA | 51532884 | AL | 01 |
