KENNETH E. HOLLAND, JR., DDS, MS, PC (NPI# 1780896274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780896274 |
Entity Type | Organization |
Organization Name | KENNETH E. HOLLAND, JR., DDS, MS, PC |
Other Organization Name | ORTHODONTIC CENTERS OF ARIZONA |
Practice Address |
8841 East Florentine Road Suite D Prescott Valley AZ 86314 |
Practice Telephone | 9287599200 |
Practice Fax Number | 9287750248 |
Mailing Telephone | 9287599200 |
Mailing Fax Number | 9287750248 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2010-02-04 |
Authorized Official Name | DR. KENNETH EUGENE HOLLAND JR. (PRESICENT) |
Authorized Official Telephone | 9287599200 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4291 | AZ | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | DEPT OF ECOMON SEC - CMDP | 422056 | 01 |
Other Name | Type Code |
---|---|
Orthodontic Centers of Arizona | Doing Business As Name - Organization |
Street Address |
8841 EAST FLORENTINE ROAD SUITE D |
City | PRESCOTT VALLEY |
State | AZ |
Zip Code | 86314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
Find all providers in zip 86314 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164680245 | Craig A. Young, Dmd Pllc | Dentist | 2820 N Glassford Hill Rd Ste 102, Prescott Valley, AZ 86314-2256 | 2008-05-27 |
1285964213 | Robert E Patterson | Dentist | 3033 N Windsong Dr, Suite 201, Prescott Valley, AZ 86314-2290 | 2010-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
1467061119 | Grinz Nw Plc | Dentist | 7488 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2020-07-29 |
1003447731 | Michael Mclaughlin Dds PC | Dentist | 940 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001-4852 | 2020-01-31 |
1669003422 | Suchita Mandair | Dentist | 8381 E Overlook Dr, Scottsdale, AZ 85255-6483 | 2020-01-30 |
1104475300 | Cordon Orthodontic Center Pllc | Dentist | 30012 N Cave Creek Rd Ste 102, Cave Creek, AZ 85331-5833 | 2019-09-10 |
1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
1720641228 | D'avanzo Arizona, Pllc | Dentist | 7001 N Scottsdale Rd, Scottsdale, AZ 85253-3658 | 2019-04-19 |
1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
1871066498 | Elite On Bell | Dentist | 15331 W Bell Rd Ste 210, Surprise, AZ 85374-4104 | 2019-01-07 |
1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
Find all providers with the same taxonomy |
City | PRESCOTT VALLEY |
Zip Code | 86314 |
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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.