Healthcare Provider Details

I. General information

NPI: 1730640509
Provider Name (Legal Business Name): DAVID THORNE HOLLAND DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BELVEDERE RD STE 100
WEST PALM BEACH FL
33406-1541
US

IV. Provider business mailing address

1601 BELVEDERE RD STE 100
WEST PALM BEACH FL
33406-1541
US

V. Phone/Fax

Practice location:
  • Phone: 561-623-8889
  • Fax:
Mailing address:
  • Phone: 561-623-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN27830
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: