Provider Demographics
NPI:1417171547
Name:HOLECEK DENTAL SERVICES,P.C.
Entity Type:Organization
Organization Name:HOLECEK DENTAL SERVICES,P.C.
Other - Org Name:MT PLEASANT FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLECEK
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-775-3336
Mailing Address - Street 1:905 E PICKARD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1010
Mailing Address - Country:US
Mailing Address - Phone:989-775-3336
Mailing Address - Fax:989-773-4042
Practice Address - Street 1:905 E PICKARD ST
Practice Address - Street 2:SUITE A
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1010
Practice Address - Country:US
Practice Address - Phone:989-775-3336
Practice Address - Fax:989-773-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI012502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty