Provider Demographics
NPI:1255458311
Name:HOLCOMB, DAVID GREGORY (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GREGORY
Last Name:HOLCOMB
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 SOUTH 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-933-5837
Mailing Address - Fax:205-933-2676
Practice Address - Street 1:944 SO 18TH ST
Practice Address - Street 2:
Practice Address - City:BHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-5837
Practice Address - Fax:205-933-2676
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3591122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist