Provider Demographics
NPI:1760491740
Name:HOLLAND, GEORGE ERNEST JR (DMD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ERNEST
Last Name:HOLLAND
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:E
Other - Last Name:HOLLAND
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6941 NORTH TRENHOLM RD
Mailing Address - Street 2:SUITE N2
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-1715
Mailing Address - Country:US
Mailing Address - Phone:803-782-5492
Mailing Address - Fax:
Practice Address - Street 1:6941 NORTH TRENHOLM RD
Practice Address - Street 2:SUITE N2
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-1715
Practice Address - Country:US
Practice Address - Phone:803-782-5492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist