Provider Demographics
NPI:1457975039
Name:ANDREW HOLOVNIA D.M.D.
Entity Type:Organization
Organization Name:ANDREW HOLOVNIA D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HOLOVNIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:952-237-1390
Mailing Address - Street 1:2323 N AKARD ST APT 2811
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-4481
Mailing Address - Country:US
Mailing Address - Phone:952-237-1390
Mailing Address - Fax:
Practice Address - Street 1:445 S DENTON TAP RD STE 110
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3368
Practice Address - Country:US
Practice Address - Phone:972-462-9000
Practice Address - Fax:972-393-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental