Tim R. Holland DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

10750 Issued in MN

Legal business name

TIM R. HOLLAND DDS PA

Practice address

605 Hillcrest Ave
Suite 230
Owatonna, MN 55060-3680

Phone

(507) 451-7250

Fax

(507) 451-1011

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Tim Holland, DDSNPI 1013064468

Title

Owner

Phone

(507) 451-7250

Specialties & licenses 1

Addresses

Tax ID family

Holland Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tim R. Holland, D.D.S., P.a.

  • Dental Clinic/Center
  • Owatonna, MN
  • NPI 1356712574
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Roger Holland, DDS

  • Dentist
  • Owatonna, MN
  • NPI 1013064468
  NPD (past) Authorized official

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1881095412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE",
            "address_2": "SUITE 230",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-7250",
            "fax_number": "507-451-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE",
            "address_2": "SUITE 230",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-7250",
            "fax_number": "507-451-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM R. HOLLAND DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-7250",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley F Thompson, MD
• Kaneisha Monique Thompson
• Lacey Theresa Thompson, MSW, LICSW
• Shellie Lynette Thompson, CRNA
• Amy Irene Thorson, MSW, LICSW, LADC
• Tim R. Holland, D.D.S., P.a.
• Andrew Charles Toftoy, MD
• Alexander Ralph Tokarski, DPM
• Christopher Jude Turnbull, CRNA
• Robert Francis Turnbull, CRNA

• Dentist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.