Doctor profile · Federal record
Dr. Jacob Holly
General Practice Dentistry · Phoenix, AZ
- NPI 1336678283
- 9 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3750 W Greenway RD
Phoenix, AZ 850533703
(623) 377-4945 - Mailing address
-
9533 W Blue Sky Dr
Peoria, AZ 853838741
Credentials & registration
- NPI registered
- June 2017 — 9 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Arizona #D009739
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336678283. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$166
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 2 | $151.03 | |
| Align Technology, Inc. | 1 | $14.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
145
Patients
99
Total drug cost
$611
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 76 | 62 | $274 |
| Chlorhexidine Gluconate | Generic | 45 | 26 | $219 |
| Clindamycin Hcl | Generic | 13 | 0 | $92 |
| Dexamethasone | Generic | 11 | 11 | $26 |
Frequently asked questions
What is Dr. Jacob Holly's medical specialty?
Dr. Jacob Holly practices General Practice Dentistry in Phoenix, AZ.
Where does Dr. Jacob Holly practice?
Dr. Jacob Holly practices at 3750 W Greenway RD, Phoenix, AZ 850533703. Office phone: 6233774945.
What is Dr. Jacob Holly's NPI?
Dr. Jacob Holly's National Provider Identifier (NPI) is 1336678283, issued by NPPES.