Hollywood Dentists Two

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27338 Issued in TX

Legal business name

HOLLYWOOD DENTISTS TWO

Practice address

12001 Richmond Ave Ste 1
Houston, TX 77082-7682

Phone

(281) 589-1111

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Anh Mai

Title

Manager

Phone

(281) 589-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1790195121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 RICHMOND AVE STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770827682",
            "telephone_number": "281-589-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 RICHMOND AVE STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770827682",
            "telephone_number": "281-589-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD DENTISTS TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-589-1111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila A Holly
• Hollywood Corporation (Hollywood Dental)
• Hollywood Dentist Four
• Hollywood Dentists LLC
• Hollywood Dentists One
• Bonnie Elizabeth Hollywood, MA CCCSLP
• Kyle Hollywood
• Suzanne Holm, PH.D.
• Holman Dental PLLC
• Holman Dental PLLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.