Danny V Hollis
Individual provider Active NPI Denturist · Surry, ME
NPI 1760612188 · NPPES record last updated Jul 20, 2009
Key facts
- NPI
- 1760612188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Denturist 122400000X
- License
- 5018 (ME)
- Practice address
- 33 Granite Rock Cir N
Surry, ME 04684-3601 - Phone
- (207) 664-7444
- Fax
- (207) 664-7444
- NPI assigned
- Jul 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018 | ME | MD | Denturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | 5018 | ME | Yes |
Addresses
Primary practice location
33 Granite Rock Cir N
Surry, ME 04684-3601
Mailing address
33 Granite Rock Cir N
Surry, ME 04684-3601
Phone (207) 664-7444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235280000 | Other | ME | MAINECARE |
Other names
- Danny V Hollis
Other providers in Surry, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.