NPI 1003834268 · live from the CMS NPI Registry
Holly R. Cantrell, D.M.D., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Cornelia, GA. National Provider Identifier 1003834268, active.
NPI record
| NPI | 1003834268 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 108 Highland Ave, Cornelia, GA 30531 |
| Practice phone | 706-778-5093 |
| Enumerated | July 17, 2006 |
| Last updated | January 14, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 11262 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.