DR. SETH ADAM HOLLAND (NPI# 1639512254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639512254 |
| Entity Type | Individual |
| Full Name | DR. SETH ADAM HOLLAND |
| Credential | DMD |
| Practice Address |
121 Sw 5th St Canyonville OR 97417-8718 |
| Mailing Address |
442 Sw Umatilla Ave Suite 200 Redmond OR 97756-7039 |
| Practice Telephone | 8884680022 |
| Practice Fax Number | 5415043907 |
| Mailing Telephone | 5415043900 |
| Mailing Fax Number | 5415043907 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10019 | OR | Dental Providers |
| N | 122300000X | Dentist | TD-00-58 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437646304 | Seth Holland | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2018-04-17 |
| 1043744543 | Seth Holland | Pharmacist | 2121 E Harmony Rd, Fort Collins, CO 80528-3400 | 2017-04-12 |
| 1215994082 | Seth Ray Holland | Physician Assistant | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2006-04-27 |
| Street Address |
121 SW 5TH ST |
| City | CANYONVILLE |
| State | OR |
| Zip Code | 97417-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266804 | Shelly Rea Sullens | Dentist | 121 Sw 5th St, Canyonville, OR 97417-8718 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611350 | Forest Glen | Assisted Living Facility | 200 Sw Frontage, Canyonville, OR 97417 | 2007-03-26 |
| 1205971439 | Ronald E Wilmot | Counselor | 152 Bettys Way St, 481, Canyonville, OR 97417 | 2007-02-21 |
| 1841333135 | Canyonville Chiropractic Inc | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-02-15 |
| 1407475577 | Robert Bakkegard | Pharmacist | 314 S Main Street, Canyonville, OR 97417 | 2020-04-09 |
| 1316322597 | Carrie Lovemark | Acupuncturist | 214 S Main St, Canyonville, OR 97417 | 2015-07-29 |
| 1255521225 | Falk Family Medicine, LLC | Family Medicine | 115 Sw Pine Street, Canyonville, OR 97417 | 2007-07-26 |
| 1689891269 | David Allen Stevens | Pharmacist | 314 S Main St, Canyonville, OR 97417 | 2007-04-18 |
| 1508987645 | James Brian Siegel | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-04-03 |
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1295882512 | Bonita Acosta | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2007-01-05 |
| Find all providers in zip 97417 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154765907 | Harlan Lee White | Dentist | 115 Phillips St, Po Bx 732, Canyonville, OR 97417-8703 | 2013-04-23 |
| 1124266804 | Shelly Rea Sullens | Dentist | 121 Sw 5th St, Canyonville, OR 97417-8718 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1790390060 | Tyler Joseph Craven | Dentist | 4515 Se Harrison St, Milwaukie, OR 97222-5221 | 2020-09-13 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1801400684 | Michael Carreon | Dentist | 1332 Sw Highland Ave, Redmond, OR 97756-2640 | 2020-08-31 |
| 1679196190 | Members Plus Dental | Dentist | 156 Catron St N, Monmouth, OR 97361-2303 | 2020-05-19 |
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1619504164 | Anna Nicole Gerlach | Dentist | 1915 Ne Baker St, Mcminnville, OR 97128-2601 | 2020-03-25 |
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | CANYONVILLE |
| Zip Code | 97417 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.