Provider Demographics
NPI:1801030580
Name:A.J.HOLMAN D.D.S.& C.A.HOLMAN D.D.S.,INC
Entity Type:Organization
Organization Name:A.J.HOLMAN D.D.S.& C.A.HOLMAN D.D.S.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-581-3906
Mailing Address - Street 1:4960 CEMETERY RD STE A
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1622
Mailing Address - Country:US
Mailing Address - Phone:614-876-1161
Mailing Address - Fax:
Practice Address - Street 1:4960 CEMETERY RD STE A
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1622
Practice Address - Country:US
Practice Address - Phone:614-876-1161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30020314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty