Provider Demographics
NPI:1295375194
Name:HOLOWICKI, DDS, INC
Entity Type:Organization
Organization Name:HOLOWICKI, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSONNEL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:J
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-889-0726
Mailing Address - Street 1:5156 BLAZER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7318
Mailing Address - Country:US
Mailing Address - Phone:614-889-0726
Mailing Address - Fax:614-889-8466
Practice Address - Street 1:5156 BLAZER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7318
Practice Address - Country:US
Practice Address - Phone:614-889-0726
Practice Address - Fax:614-889-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty