Provider Demographics
NPI:1598423782
Name:HOLLY B MAIER DMD PC
Entity Type:Organization
Organization Name:HOLLY B MAIER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:802-985-9700
Mailing Address - Street 1:41 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7480
Mailing Address - Country:US
Mailing Address - Phone:802-985-9700
Mailing Address - Fax:
Practice Address - Street 1:41 FALLS RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7480
Practice Address - Country:US
Practice Address - Phone:802-985-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty