Kenneth Eugene Holland, Jr., DDS, Ms, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4291 Issued in AZ

Legal business name

KENNETH EUGENE HOLLAND, JR., DDS, MS, PLLC

Practice address

13821 N 35TH Dr
Suite 1
Phoenix, AZ 85053-5541

Phone

(928) 710-4974

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Eugene Holland Jr., DDS, MS

Title

President

Phone

(928) 710-4974

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth E Holland, Jr, DDS, MS Former legal business name

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1437364809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W SAHUARO DR",
            "address_2": "APT 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295070",
            "telephone_number": "928-710-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 N 35TH DR",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535541",
            "telephone_number": "928-710-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH EUGENE HOLLAND, JR., DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-710-4974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF ECONOM SEC - CMDP",
            "identifier": "422056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth E Holland, Jr, DDS, MS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shannon Eileen Kennedy, DC
• Stephanie Kennedy, LMSW
• Wendy Kennedy, MA
• William Robert Kennedy, MD
• Colan Ashley Kennelly, MD
• Kenneth G. Lawlor, DO, PLLC
• Fredrick I. Kenny, M.D.
• Katherine J Kenny, ANP
• Meghan Kenny
• Robert E Kenrich, POD

• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.