Provider Demographics
NPI:1295310423
Name:ESSEX COUNTY ORTHODONTICS PLLC
Entity type:Organization
Organization Name:ESSEX COUNTY ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-265-0055
Mailing Address - Street 1:35 GIGANTE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2310
Mailing Address - Country:US
Mailing Address - Phone:603-265-9100
Mailing Address - Fax:
Practice Address - Street 1:33 LOW ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4114
Practice Address - Country:US
Practice Address - Phone:978-465-6288
Practice Address - Fax:603-329-9514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty