Jeffrey L Hollis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012614 Issued in MI

Practice address

11282 M 140
South Haven, MI 49090-9405

Phone

(269) 637-8611

Fax

(269) 637-8956

NPI assigned

Jun 23, 2005

Reactivated

Mar 22, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Kai Steele Dentistry PLLC

  • Dental Clinic/Center
  • South Haven, MI
  • NPI 1508241860
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386640480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11282 M 140",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909405",
            "telephone_number": "269-637-8611",
            "fax_number": "269-637-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11282 M 140",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909405",
            "telephone_number": "269-637-8611",
            "fax_number": "269-637-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Patricia Heinrich, M.D.
• Abigail Hernandez
• Robert J Hiddema, DDS
• Holland Foot and Ankle Center, PC
• Yaniece Holling
• Morgan Hough
• Kim House
• Jamie Lee Hubbard, ILC, PPD
• Waseem Sheriff Humayoon Sheriff
• Jeffrey Bryan Hungerford

• General Practice Dentistry in South Haven, MI
• Providers in South Haven, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.