Provider Demographics
NPI:1831572155
Name:KILLIAN, HOLLAND K (DMD)
Entity type:Individual
Prefix:DR
First Name:HOLLAND
Middle Name:K
Last Name:KILLIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:HOLLAND
Other - Middle Name:KATHERYN
Other - Last Name:MOREAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:5021 S JELLISON WAY UNIT C
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7378
Mailing Address - Country:US
Mailing Address - Phone:720-608-5557
Mailing Address - Fax:
Practice Address - Street 1:5021 S JELLISON WAY UNIT C
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7377
Practice Address - Country:US
Practice Address - Phone:720-608-5557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2039351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice