Provider Demographics
NPI:1457526113
Name:RICHARD HOLLANDER D.D.S.
Entity type:Organization
Organization Name:RICHARD HOLLANDER D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-737-8831
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53166122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty