Provider Demographics
NPI:1922109826
Name:HOLLAND, THOMAS WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
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 1:383 W STEAMBOAT DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5389
Mailing Address - Country:US
Mailing Address - Phone:605-232-5898
Mailing Address - Fax:605-232-6844
Practice Address - Street 1:383 W STEAMBOAT DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5389
Practice Address - Country:US
Practice Address - Phone:605-232-5898
Practice Address - Fax:605-232-6844
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM550122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist