Organization · NPI-2

Diamond Dental Solutions

Dentist, General Practice · Prattville, AL

NPI number1669079943
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1669079943
Entity type
Organization (NPI-2)
Legal business name
Diamond Dental Solutions
Organization subpart
No
Enumeration date
Oct 8, 2020
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Holley Dental Group (Doing Business As)

Practice location

542 Mcqueen Smith Rd N
Prattville, AL 36066-5558

Phone 334-358-4848

Mailing address

542 Mcqueen Smith Rd N
Prattville, AL 36066-5558

Phone 334-358-4848

Authorized official

Matthew David Holley
President And Ceo
3343584848

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