MEDICARE: MICHAEL HOLLAND DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS044297	PA

General Provider Information

NPI Number	:	1093599102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HOLLAND DDS

Provider Business Mailing Address
First Line	:	3205 PENN AVE APT 210
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-1455
Country	:	US
Telephone Number	:	701-212-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 CENTER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-2329
Country	:	US
Telephone Number	:	412-924-7432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/23/2023

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Directions to “ MICHAEL HOLLAND DDS” Practice Location

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