Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Russell Holmes, DMD, PA

Individual provider General Practice Dentistry · NPI 1295044071

Dr. Mark Russell Holmes, DMD, PA is a General Practice Dentistry in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4240 W Kennedy Blvd
Tampa, FL 33609-2231
Phone: (813) 636-9400
Fax: (813) 288-0045
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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 DN15675 (FL)

Record details

NPI number1295044071
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedSeptember 28, 2010
Last updated in NPPESSeptember 28, 2010

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