Hollis Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HOLLIS FAMILY DENTAL

Practice address

5043 E Broadway Rd
Mesa, AZ 85206-1301

Phone

(480) 654-5500

Fax

(480) 282-4799

NPI assigned

Nov 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Weston Ray Hollis, DDSNPI 1083066237

Title

Owner

Phone

(480) 654-5500

Specialties & licenses 1

Addresses

Other names 2

• Hollis Family Dental Doing business as
• Weston Hollis Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Weston Ray Hollis, D.D.S.

  • Dentist
  • Mesa, AZ
  • NPI 1083066237
  NPD (past) Authorized official
• Craig R Hollis, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1487740916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1033828736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061301",
            "telephone_number": "480-654-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061301",
            "telephone_number": "480-654-5500",
            "fax_number": "480-282-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "WESTON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-654-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollis Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weston Hollis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edward I Holland, MD
• Hollarmangam PC
• Michael Holleran
• Jeremy Holley
• Eujavia Lammariya Debreana Hollins-Turner
• Craig R Hollis, DDS
• Weston Ray Hollis, D.D.S.
• Chelsea M Holloway, AU.D.
• Kraneisha Renee Holloway, LAC
• Patricia Holloway

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.