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

Jack Carter Holley, DMD

Individual provider General Practice Dentistry · NPI 1376235259

Jack Carter Holley, DMD is a General Practice Dentistry in Seminole, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

9200 113th St
Seminole, FL 33772-2800
Phone: (727) 893-5050
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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 DN31951 (FL)

Record details

NPI number1376235259
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026
Mailing address430 3rd Ave S Apt 107, St Petersburg, FL 33701-4144

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