Provider Demographics
NPI:1386762409
Name:DAVID E HOLSEY DDS INC
Entity type:Organization
Organization Name:DAVID E HOLSEY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-440-3530
Mailing Address - Street 1:17222 RED OAK DR
Mailing Address - Street 2:STE 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2614
Mailing Address - Country:US
Mailing Address - Phone:281-440-3530
Mailing Address - Fax:281-440-5580
Practice Address - Street 1:17222 RED OAK DR
Practice Address - Street 2:STE 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2614
Practice Address - Country:US
Practice Address - Phone:281-440-3530
Practice Address - Fax:281-440-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty