Individual provider · NPI-1
Jennifer Holley
Dental Hygienist · Beaufort, SC
NPI number1851032858
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1851032858
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Holley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | – | – | Yes |
Practice location
674 Boulevard De FranceBeaufort, SC 29902
Phone 843-228-3500
Mailing address
1 Pinckney BlvdBeaufort, SC 29902-6122
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