Provider Demographics
NPI:1508875204
Name:HOLSINGER, DEIRDRE JEAN (DSS, PC)
Entity Type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:JEAN
Last Name:HOLSINGER
Suffix:
Gender:F
Credentials:DSS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3210
Mailing Address - Country:US
Mailing Address - Phone:989-686-0580
Mailing Address - Fax:989-686-6846
Practice Address - Street 1:604 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3210
Practice Address - Country:US
Practice Address - Phone:989-686-0580
Practice Address - Fax:989-686-6846
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI182061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice