Dr. Shanna Couch Holliday, D.M.D.
Dentist, General Practice in Hazard, KY. Individual provider (NPI-1).
NPI number1508901166
StatusActive
Last updated in NPPESJul 12, 2012
Details
- NPI
- 1508901166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shanna Couch Holliday
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Jul 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7633 | KY | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 7633 | KY |
Practice location
251 Morton BlvdHazard, KY 41701-9470
Phone 606-439-1079 · Fax 606-439-3878
Mailing address
310 Doctors RowChavies, KY 41727-8954
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All 17 General Practice Dentistry providers in Hazard · All 1,357 providers in Hazard
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