Provider Demographics
NPI:1700016839
Name:GIES, HOLLY (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:GIES
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 1:102 SEA ISLAND PKWY
Mailing Address - Street 2:STE J
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1563
Mailing Address - Country:US
Mailing Address - Phone:843-986-0157
Mailing Address - Fax:
Practice Address - Street 1:102 SEA ISLAND PKWY
Practice Address - Street 2:STE J
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1563
Practice Address - Country:US
Practice Address - Phone:843-986-0157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4645122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist