IndividualActive
John Holman, DMD MSD
NPI 1124115134 · Orthodontics and Dentofacial Orthopedics Dentistry · Tupelo, MS
Provider details
- NPI number
- 1124115134
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD MSD
- Sex
- Male
- Sole proprietor
- No
- License
- OR29095 (MS)
Practice location
99 Park Gate Dr
Tupelo, MS 38801-3006
Phone: (662) 842-1735
Fax: (662) 842-1769
Mailing address
Po Box 526
Tupelo, MS 38802-0526
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.