Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376235259 Individual Practitioner Male Practitioner

Dr. Jack Carter Holley , DMD

Dentist - General Practice • Seminole, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Holley, DMD is a registered healthcare professional specializing in Dentist - General Practice in Seminole, FL. Practice services are available at 9200 113TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9200 113th St

Seminole, FL 337722800

Telephone 7278935050
Associated Practice Facility / Clinic
🏢 Faculty Associates, Inc Facility NPI 1255379004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seminole, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Seminole, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN31951

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Omar Elrabi

Student in an Organized Health Care Education/Training Program

NPI 1003769118
NPI 1124861752

Doctor of Dental Medicine

NPI 1164107645
NPI 1164311213

Doctor of Dental Medicine

Halle Morrissette

Student in an Organized Health Care Education/Training Program

NPI 1174215297
NPI 1174256713

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 21, 2026

Registered at 9200 113TH ST, SEMINOLE, FL 337722800 (Tel: 7278935050)

📍
Updated Business Mailing Address June 21, 2026

Registered at 430 3RD AVE S APT 107, ST PETERSBURG, FL 337014144

👤
Provider Name / Credentials Updated June 21, 2026

Recorded as JACK HOLLEY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2026

Dentist (License #DN31951 in FL)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 1919 7TH AVE S, BIRMINGHAM, AL 352332005 (Tel: 2059343387)

📍
Updated Business Mailing Address May 22, 2023

Registered at 1919 7TH AVE S, BIRMINGHAM, AL 352332005 (Tel: 2059343387)

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as JACK HOLLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376235259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: June 21, 2026
Sole Proprietor: No

Mailing Address

430 3rd Ave S Apt 107

St Petersburg, FL 337014144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.