OrganizationActive
Brad Holifield, D.M.D., P.A.
NPI 1780764902 · Periodontics · Laurel, MS
Provider details
- NPI number
- 1780764902
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Brad Holifield, Doctor / President(601) 577-2723
- License
- PER-201-87 (MS)
Specialties & taxonomies
Dental Providers
Practice location
3221 Audubon Dr
Laurel, MS 39440-1422
Phone: (601) 649-3900
Fax: (601) 518-7860
Approximate (ZIP-level) locationGet directions
Mailing address
3221 Audubon Dr
Laurel, MS 39440-1422
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2016-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.