NPPES file of Aug 9, 2026

Randolph Holly, DDS

Oral and Maxillofacial Surgery (Dentist) · Endicott, NY

Randolph Holly, DDS is an oral and maxillofacial surgery (dentist) with a practice address in Endicott, New York, and NPI 1871663427, issued on Nov 9, 2006. Check the license (New York 0369901, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871663427
Name
Randolph Holly
Credential
DDS
Primary taxonomy
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License number
0369901 NY
Self-reported in NPPES; status is on the state search
Practice location
1003 Monroe Street, Endicott, NY 13760
Phone
(607) 757-0455
Enumerated
Nov 9, 2006
Record last updated
Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(607) 757-9375
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Randolph Holly in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 0369901
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Randolph Holly among 665 oral and maxillofacial surgery (dentist) records in New York

Randolph Holly, DDS is one of 665 oral and maxillofacial surgery (dentist) records with a practice address in New York. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 54% newer
  • In a Medicare fileNo · 76% of these records are
  • In the CMS Doctors and Clinicians fileNo · 13% of these records are
  • Record last updated2007 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Oral and Maxillofacial Surgery (Dentist) providers in New York

There are 665 oral and maxillofacial surgery (dentist) records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes

  1. James Desantis, DDS & MDJohnson City, NY 137901295898286
  2. Lee Akin, D.D.S.Potsdam, NY 136761538376447
  3. Stephen Fisher, DDSPotsdam, NY 136761124216304
  4. Mark Dreher, DDS, MDBinghamton, NY 139051962602177
  5. Marvin Anderson, DMDFort Drum, NY 136021962487926
  6. Bailey Moorhead Beardsley, DMDFort Drum, NY 136021003398850
  7. David Schneck, DDSFort Drum, NY 136021316920705
  8. Ryan Brown, DMDWatertown, NY 136011841676939

Common questions

What is Randolph Holly, DDS's NPI number?

Randolph Holly, DDS's National Provider Identifier (NPI) is 1871663427, issued on Nov 9, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Randolph Holly, DDS located?

The NPPES record lists a practice address at 1003 Monroe Street, Endicott, NY, 13760. Phone: (607) 757-0455. Providers update this record themselves, so call before visiting.

How can I verify Randolph Holly, DDS's license?

NPPES lists New York license number 0369901, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.