Provider Demographics
NPI:1073274809
Name:JOSEPH P. HOLMES DDS PLLC
Entity Type:Organization
Organization Name:JOSEPH P. HOLMES DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PLLC
Authorized Official - Phone:210-314-4643
Mailing Address - Street 1:11874 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2744
Mailing Address - Country:US
Mailing Address - Phone:210-314-4643
Mailing Address - Fax:210-314-5641
Practice Address - Street 1:11874 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2744
Practice Address - Country:US
Practice Address - Phone:210-314-4643
Practice Address - Fax:210-314-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty