Provider Demographics
NPI:1912163007
Name:HOLEMAN, DEVON LAMAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:LAMAR
Last Name:HOLEMAN
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 1:2895 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-4503
Mailing Address - Country:US
Mailing Address - Phone:480-782-1555
Mailing Address - Fax:480-782-5111
Practice Address - Street 1:2895 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 8
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-4503
Practice Address - Country:US
Practice Address - Phone:480-782-1555
Practice Address - Fax:480-782-5111
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0228411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice