Provider Demographics
NPI:1255505749
Name:HOLLOBAUGH, JULIE RENEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:RENEE
Last Name:HOLLOBAUGH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-2243
Mailing Address - Country:US
Mailing Address - Phone:814-942-9111
Mailing Address - Fax:814-946-9411
Practice Address - Street 1:2217 7TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2243
Practice Address - Country:US
Practice Address - Phone:814-942-9111
Practice Address - Fax:814-946-9411
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030998L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice