CW Holland DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

3934 Issued in NC

Legal business name

CW HOLLAND DDS PA

Practice address

1310 Nash Street North
Wilson, NC 27893

Phone

(252) 237-3117

NPI assigned

Oct 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Wayne Holland, DDSNPI 1740376680

Title

President

Phone

(252) 237-3117

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Wayne Holland, DDS

  • Dentist
  • Wilson, NC
  • NPI 1740376680
  NPD (past) Authorized official
• Alexandria Stone Luper, D.M.D.

  • General Practice Dentistry
  • Wilson, NC
  • NPI 1891143061
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497838817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NASH STREET NORTH",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NASH STREET NORTH",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW HOLLAND DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-237-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94025",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "3934",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee Cummings II, MD
• Nancy Kwamboka Cunningham
• Curis at Wilson Opco LLC (Curis at Wilson Nursing & Rehabilitation Center)
• Justin Clark Curlee, PT
• Amber Curtis, COTA/L
• Cyrus Andrew Lee, D.D.S., P.L.L.C. (Lee Dentistry)
• Cyrus F. Lee, Jr., DDS PA
• D & D Health Services
• D.P.P.S. , Inc.
• Ryan Dague, DNP FNP-BC

• Dentist in Wilson, NC
• Providers in Wilson, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.