Provider Demographics
NPI:1609082239
Name:HOLLAND, CHRISTOPHER ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4876 AVONDALE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8622
Mailing Address - Country:US
Mailing Address - Phone:614-563-0367
Mailing Address - Fax:
Practice Address - Street 1:8714 TENNYSON AVE
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-1932
Practice Address - Country:US
Practice Address - Phone:740-574-8044
Practice Address - Fax:740-574-8542
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH206781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice