Holland Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019027051 Issued in IL

Legal business name

HOLLAND DENTAL LLC

Practice address

300 E 162ND St
South Holland, IL 60473-2141

Phone

(708) 424-5901

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Ramaha

Title

Voice President

Phone

(708) 424-5901

Specialties & licenses 1

Addresses

Other names 1

• Universal Dental Doing business as

Locations

Practitioners 1

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

• Jinhua Xie, DMD

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1760213946
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1164892006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532862",
            "telephone_number": "708-394-5100",
            "fax_number": "708-907-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732141",
            "telephone_number": "708-424-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "VOICE PRESIDENT",
        "authorized_official_telephone_number": "708-424-5901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019027051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Universal Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Hines
• Gloria Hoekstra, SLP
• Steven R Hoekstra, MA LCPC
• Sherrice A Hoffman
• Jodi Hofstra
• Christen Holland
• Sakena Kelly Holland
• Daveed Holmes
• Hope Home Health, Inc.
• Andrea Horbrook

• Dental Clinic/Center in South Holland, IL
• Providers in South Holland, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.