Provider Demographics
NPI:1023757358
Name:HOLLIS, ALANA (DDS)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 IVYLAND ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-8677
Mailing Address - Country:US
Mailing Address - Phone:734-787-5185
Mailing Address - Fax:
Practice Address - Street 1:3926 TRAXLER CT
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9283
Practice Address - Country:US
Practice Address - Phone:989-686-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016013051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice