John Wilson Holland Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2020 Issued in AR

Practice address

1310 W Walnut St
Rogers, AR 72756-3316

Phone

(479) 636-6807

Fax

(479) 636-7337

NPI assigned

Dec 21, 2006

Sex

Male

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

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740344019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563316",
            "telephone_number": "479-636-6807",
            "fax_number": "479-636-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563316",
            "telephone_number": "479-636-6807",
            "fax_number": "479-636-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOHN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Hof, M.D.
• Hannah M Hoffman, CRNA
• Gianna Hogan
• Malindi Holder
• Bradly Shane Holland, DO
• April Holliday, LAC
• Dane L Hollis, D.D.S.
• Caroline Elise Holloway, PT, DPT
• Ginger Leann Holloway, APRN
• Megan Elizabeth Holmes

• All providers in Rogers, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.