Kenneth E. Holland, Jr., DDS, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4291 Issued in AZ

Legal business name

KENNETH E. HOLLAND, JR., DDS, MS, PC

Practice address

8841 East Florentine Road
Suite D
Prescott Valley, AZ 86314

Phone

(928) 759-9200

Fax

(928) 775-0248

NPI assigned

May 4, 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

Presicent

Phone

(928) 759-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthodontic Centers of Arizona Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1780896274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 EAST FLORENTINE ROAD",
            "address_2": "SUITE D",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-759-9200",
            "fax_number": "928-775-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 EAST FLORENTINE ROAD",
            "address_2": "SUITE D",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-759-9200",
            "fax_number": "928-775-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. HOLLAND, JR., DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESICENT",
        "authorized_official_telephone_number": "928-759-9200",
        "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 ECOMON SEC - CMDP",
            "identifier": "422056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Centers of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Kane, PHD
• Shane Kapele
• Wannapa Kasuwan, LMT
• Janine Kauffmann, PHARM D
• Kav Dental LLC
• Brea Kern, DNP, FNP-C
• Kevin F Brown DO LLC
• Lily Mei Kha
• Amy S Kille, PHARM.D.
• Seonjeong Kim

• Orthodontics and Dentofacial Orthopedics Dentistry in Prescott Valley, AZ
• Providers in Prescott Valley, 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 Feb 4, 2010; 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.