OrganizationActive
Marsha Jordan Holloway, LLC
NPI 1992856918 · Orthodontics and Dentofacial Orthopedics Dentistry · Tifton, GA
Provider details
- NPI number
- 1992856918
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Cooper, Insurance Coordinator(229) 386-1616
- License
- 010688 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 12th St W
Suite F
Tifton, GA 31794-3978
Phone: (229) 386-1616
Fax: (229) 386-4828
Street-level locationGet directions
Mailing address
200 12th St W
Tifton, GA 31794-3978
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.