DR. ROBERT GARY HOLMES DMD NPI 1376598243

NPI Information

NPI: 1376598243
Provider Name: DR. ROBERT GARY HOLMES, DMD
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
PSC 475 BOX 1
FPO, AP
ZIP 96350
Phone: (315) 243-5868
Get Directions

DR. Robert Gary Holmes, DMD is a prosthodontics dentist in Fpo, AP. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Robert Gary Holmes, DMD NPI is 1376598243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PSC 475 BOX 1
FPO, AP
ZIP 96350-200
Phone: (315) 243-5868

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN11091	GEORGIA	No
2	1223G0001X	Dentist	General Practice	DN011091	GEORGIA	No
3	1223P0700X	Dentist	Prosthodontics	11091	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000508054B	MEDICAID	GEORGIA
2	ZG0197	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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