Provider Demographics
NPI:1891802831
Name:HOLLANDER, RICHARD REDFERN (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:REDFERN
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6912 E RENO AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2157
Mailing Address - Country:US
Mailing Address - Phone:405-737-8831
Mailing Address - Fax:405-737-8872
Practice Address - Street 1:6912 E RENO AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2157
Practice Address - Country:US
Practice Address - Phone:405-737-8831
Practice Address - Fax:405-737-8872
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK531661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice