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Active NPI 1528268984 Individual Practitioner Female Practitioner

Dr. Holly Mclaurin Deshazo , DMD

Dentist - General Practice • Madison, MS

Professional Overview & Biography Verified Profile Summary

Dr. Holly Deshazo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Madison, MS. Practice services are available at 348 SAINT IVES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

348 Saint Ives Dr

Madison, MS 391107182

Telephone 6012910276

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Madison, MS (895 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 3419-07

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 05, 2013

Registered at 348 SAINT IVES DR, MADISON, MS 391107182 (Tel: 6012910276)

📍
Updated Business Mailing Address June 05, 2013

Registered at 348 SAINT IVES DR, MADISON, MS 391107182 (Tel: 6012910276)

👤
Provider Name / Credentials Updated June 05, 2013

Recorded as HOLLY DESHAZO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Dentist (License #3419-07 in MS)

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Initial NPI Registration & Enumeration July 23, 2007

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: 1528268984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2007
Last Update: June 05, 2013
Sole Proprietor: No

Mailing Address

348 Saint Ives Dr

Madison, MS 391107182

Phone: 6012910276

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.