IndividualActive
Brad Holifield, D.M.D.
NPI 1548618622 · Dentist · Laurel, MS
Provider details
- NPI number
- 1548618622
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1890-80 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3221 Audubon Dr
Laurel, MS 39440-1422
Phone: (601) 649-3900
Fax: (601) 264-2723
Approximate (ZIP-level) locationGet directions
Mailing address
3221 Audubon Dr
Laurel, MS 39440-1422
Registry dates
- Enumerated
- 2016-05-30
- Last updated
- 2016-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.