Keith Vaughn Holland in Jacksonville - Dentist
Keith Vaughn Holland - NPI 1619177169
Keith Vaughn Holland is a Dentist in Jacksonville, Florida. Keith Vaughn Holland practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Vaughn Holland is 1619177169. The last update date is 2007-07-23.
Keith Vaughn Holland's current location address is 4114 Herschel St, Jacksonville, Florida. You can contact this provider via phone number 9043893694. The mailing address for Keith Vaughn Holland is 4114 Herschel St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Vaughn Holland |
|---|---|
| Address | 4114 Herschel St, Jacksonville, Florida |
| Phone Number | 9043893694 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619177169 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 4114 Herschel St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322102206 |
| Phone Number | 9043893694 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DL6827 |
|
Definition: 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: denti |
|
Post Comment/ Review Below
What is the Keith Vaughn Holland's unique identification number?
The Keith Vaughn Holland has been assigned the NPI (National Provider Identifier) Number 1619177169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Keith Vaughn Holland?
The Keith Vaughn Holland is physically situated at 4114 Herschel St, in the city of Jacksonville, state of FL, with the postal code 322102206.
What is the Keith Vaughn Holland's area of specialization and corresponding taxonomy classification?
The Keith Vaughn Holland's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Keith Vaughn Holland receive its 1619177169 assignment from the Centers for Medicare & Medicaid Services?
The Keith Vaughn Holland was assigned its 1619177169 by the Centers for Medicare & Medicaid Services on 2007-07-23.
As of what date were the details related to Keith Vaughn Holland most recently updated or revised?
The information pertaining to Keith Vaughn Holland, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-23.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT