Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack L Holly Jr., DDS

Individual provider General Practice Dentistry · NPI 1346364593

Dr. Jack L Holly Jr., DDS is a General Practice Dentistry in Elizabethton, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

417 Hudson Dr
Elizabethton, TN 37643-2881
Phone: (423) 543-4141
Fax: (423) 543-6606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS2986 (TN)

Record details

NPI number1346364593
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007

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