Provider Demographics
NPI:1295926368
Name:HOLLJES, HENRY D (DDS)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:D
Last Name:HOLLJES
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 1:2324 W JOPPA RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4615
Mailing Address - Country:US
Mailing Address - Phone:410-337-9505
Mailing Address - Fax:410-583-9517
Practice Address - Street 1:2324 W JOPPA RD
Practice Address - Street 2:SUITE 230
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4615
Practice Address - Country:US
Practice Address - Phone:410-337-9505
Practice Address - Fax:410-583-9517
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD94891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice