Holland, Kenneth Eugene
Holland, Kenneth Eugene is an individual health care provider with primary practice located at 13821 N 35Th Dr Suite 1, Phoenix AZ 85053-5541. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Holland, Kenneth Eugene can be contacted via phone (928) 710-4974.Contact Information
Primary practice address
13821 N 35Th Dr Suite 1
Phoenix AZ 85053-5541
Phone: (928) 710-4974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4291 | Arizona |
Profile Details
| NPI number | 1265644249 |
|---|---|
| LBN Legal business name | Holland, Kenneth Eugene |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jun 10th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265644249 | NPPES |
| Arizona | Other | 422056 | DEPT OF ECOMON SEC - CMDP |
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