Provider Demographics
NPI:1881033314
Name:HOLLANDER, ERICA COE (DMD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:COE
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4049 NW NORTHCLIFF
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-8248
Mailing Address - Country:US
Mailing Address - Phone:541-480-0056
Mailing Address - Fax:541-480-0056
Practice Address - Street 1:2256 KNOLL CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5721
Practice Address - Country:US
Practice Address - Phone:541-480-0056
Practice Address - Fax:541-480-0056
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist