Provider Demographics
NPI:1205177946
Name:HOLMES FAMILY DENTAL, PC
Entity Type:Organization
Organization Name:HOLMES FAMILY DENTAL, PC
Other - Org Name:HOLMES DENTAL, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, HOLMES DENTAL, PC
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-217-3747
Mailing Address - Street 1:2133 S TIMBERLINE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-221-2499
Mailing Address - Fax:970-221-5375
Practice Address - Street 1:2133S TIMBERLINE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-221-2499
Practice Address - Fax:970-221-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty