DR. RICHARD DWIGHT HOLLEY JR. (NPI# 1487864336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487864336 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DWIGHT HOLLEY JR. |
| Credential | DDS |
| Practice Address |
20950 N Tatum Blvd #350 Phoenix AZ 85050-4200 |
| Practice Telephone | 4804733111 |
| Practice Fax Number | 4804733114 |
| Mailing Telephone | 4804733111 |
| Mailing Fax Number | 4804733114 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4573 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780076711 | Richard Holley Jr. | Pharmacist | 11212 Sunrise Blvd E Ste 204, Puyallup, WA 98374-8847 | 2015-02-27 |
| 1790720407 | Richard James Holley | Military Health Care Provider | 1500 Forest Glen Rd, Physical Medicine and Rehab Dpt, Silver Spring, MD 20910-1483 | 2006-06-17 |
| Street Address |
20950 N TATUM BLVD #350 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604708 | Steven Cary Simon | Surgery | 20950 N Tatum Blvd, Suite 308, Phoenix, AZ 85050-4200 | 2005-07-22 |
| 1689110314 | Trusted Care Surgery Centers LLC | Clinic/Center | 20950 N Tatum Blvd, Suite 170, Phoenix, AZ 85050-4200 | 2017-01-19 |
| 1790141224 | Cheryl Schaaf | Registered Nurse | 20950 N Tatum Blvd, Suite 150, Phoenix, AZ 85050-4200 | 2016-01-13 |
| 1659749190 | Micheal Papademetriou | Dentist | 20950 N Tatum Blvd, 370, Phoenix, AZ 85050-4200 | 2015-09-14 |
| 1124427828 | Derrick A. Debenedetto | Physical Therapist | 20950 N Tatum Blvd, Ste. 100, Phoenix, AZ 85050-4200 | 2014-08-19 |
| 1770997413 | Kaitlyn Kakar | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2014-06-19 |
| 1568874683 | Az Pain Consultants LLC | Pain Medicine | 20950 N Tatum Blvd, Suite 220, Phoenix, AZ 85050-4200 | 2014-05-22 |
| 1215363320 | Desert Ridge Oral,facial & Implant Surgery, Pllc | Dentist | 20950 N Tatum Blvd, Suite 120, Phoenix, AZ 85050-4200 | 2013-09-20 |
| 1427490242 | Lauren K. Hasquet | Physical Therapist | 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 | 2013-07-22 |
| 1588960512 | Desert Ridge Implant & Oral Surgery PC | Dentist | 20950 N Tatum Blvd, Ste. 120, Phoenix, AZ 85050-4200 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| 1912516535 | Ford Calaway Dentistry & Orthodontics LLC | Dentist | 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 | 2020-07-29 |
| 1568085637 | Family Dental Phoenix | Dentist | 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 | 2020-05-24 |
| 1699308866 | Signature Dental Partners LLC | Dentist | 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 | 2020-02-17 |
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1831748532 | Benjamin Paul Chalom Baranes | Dentist | 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 | 2019-09-05 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1376101188 | Bethany Helen Armendariz | Dentist | 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 | 2019-06-05 |
| 1851958300 | Smile Dental Studio | Dentist | 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 | 2019-05-21 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.