Alysha Lynae Holland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025038 Issued in OH

Practice address

30 Acme St
Marietta, OH 45750-3306

Phone

(740) 374-7060

Fax

(740) 374-0023

NPI assigned

May 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Outreach, D. Austin Rehl, DDS, Peter E. Lovejoy, DDS, and Jarek

  • Dental Clinic/Center
  • Marietta, OH
  • NPI 1891359469
  NPD (past)
• Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC

  • General Practice Dentistry
  • Marietta, OH
  • NPI 1124429212

  General Practice

  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346777802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-0023",
            "fax_number": "740-374-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACME ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503306",
            "telephone_number": "740-374-7060",
            "fax_number": "740-374-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457509558",
            "country_code": "US",
            "telephone_number": "740-374-0023",
            "fax_number": "740-374-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ALYSHA",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Hoff-Jones, FNP-C
• Cary Hoffman, CRNA
• Matthew Holcomb, DO
• Rosemary Lou Holderman, LSW
• Amy Holdren, NP-C
• Mark Holland, CDCA
• Christina Florence Holt, PA
• Michael Ray Holtgrewe, MD
• Joni Hood
• Hopewell Health Centers, Inc.

• All providers in Marietta, OH
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.