DR. TERRY W. HOLDER (NPI# 1659313856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659313856 |
| Entity Type | Individual |
| Full Name | DR. TERRY W. HOLDER |
| Credential | DMD |
| Practice Address |
5107 Township Ridge Trce Marietta GA 30066-1733 |
| Practice Telephone | 7708269282 |
| Practice Fax Number | 7709983710 |
| Mailing Telephone | 7708269282 |
| Mailing Fax Number | 7709983710 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8032 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750452520 | Terry Scott Holder | Family Medicine | 155 Hospital Rd, Ste #a, Winchester, TN 37398-2494 | 2006-11-13 |
| Street Address |
5107 TOWNSHIP RIDGE TRCE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352857 | Kimchang & Company, LLC | Dentist | 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062-8608 | 2017-01-17 |
| 1003366147 | East Cobb Nia LLC | Dentist | 1111 Johnson Ferry Rd, Marietta, GA 30068-2181 | 2016-10-13 |
| 1407993827 | Priya N Dixit | Dentist | 2880 Johnson Ferry Rd Ste 100, Marietta, GA 30062-8368 | 2007-02-01 |
| 1821152364 | Michael Rossitch | Dentist | 3698 Largent Way Nw, Suite 201, Marietta, GA 30064-5923 | 2006-12-20 |
| 1053413906 | Nelson K Allen | Dentist | 2880 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8368 | 2006-09-02 |
| 1154365161 | Marc Andrew Auerbach | Dentist | 1090 Northchase Pkwy Se, Suite 290, Marietta, GA 30067-6405 | 2006-06-16 |
| 1679922470 | South Indy Dental, P.C. | Dentist | 1090 Northchase Pkwy Se, Ste. 150, Marietta, GA 30067-6405 | 2016-06-13 |
| 1396106142 | Tebo Dentistry for Kids Marietta LLC | Dentist | 2155 Post Oak Tritt Rd, Suite 450, Marietta, GA 30062-8620 | 2016-03-08 |
| 1982073441 | John Hampton Taylor | Dentist | 1230 Johnson Ferry Rd, Suite I-10, Marietta, GA 30068-2048 | 2015-09-15 |
| 1124404520 | Jorge Del Cuadro | Dentist | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067-6402 | 2015-08-07 |
| Find all providers in MARIETTA | ||||
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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.