Doctor profile · Federal record

Dr. Holly Deshazo, D.M.D.

General Practice Dentistry · Madison, MS

  • NPI 1528268984
  • 19 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
348 Saint Ives Dr
Madison, MS 391107182
(601) 291-0276

Credentials & registration

NPPES · NUCC
NPI registered
July 2007 — 19 yrs on file
Profile last updated
June 5, 2013
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Mississippi #3419-07

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1528268984. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$24
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Colgate Oral Pharmaceuticals, INC. 1 $24.04

By nature of payment

Education
$24

Frequently asked questions

Auto-generated from federal data
What is Dr. Holly Deshazo's medical specialty?
Dr. Holly Deshazo practices General Practice Dentistry in Madison, MS.
Where does Dr. Holly Deshazo practice?
Dr. Holly Deshazo practices at 348 Saint Ives Dr, Madison, MS 391107182. Office phone: 6012910276.
What is Dr. Holly Deshazo's NPI?
Dr. Holly Deshazo's National Provider Identifier (NPI) is 1528268984, issued by NPPES.