Provider Demographics
NPI:1649485475
Name:HOLMES, JOSEPH PHILIP (DDS PLLC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PHILIP
Last Name:HOLMES
Suffix:
Gender:M
Credentials:DDS PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11874 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2744
Mailing Address - Country:US
Mailing Address - Phone:210-314-4643
Mailing Address - Fax:210-314-5641
Practice Address - Street 1:11874 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2744
Practice Address - Country:US
Practice Address - Phone:210-314-4643
Practice Address - Fax:210-314-5641
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX827033OtherUNITED CONCORDIA
TXD14942OtherBLUE CROSS BLUE SHIELD
TX32862-1OtherUNITED HEALTHCARE
TX74-2649670OtherDELTA DENTAL