Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY L HOLLIS, DDS
DeactivatedJEFFREY L HOLLIS, DDS is a General Dentistry healthcare provider located in SOUTH HAVEN, Michigan. NPI 1386640480 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · SOUTH HAVEN, MI
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1386640480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (0.72876712328767 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 16, 2006
- License
-
2901012614 (MI)
Practice Information
- Address
-
11282 M 140SOUTH HAVEN, MI, 490909405Browse MI providers · Browse ZIP 49090
- Phone
- 2696378611
- Fax
- 2696378956
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SOUTH HAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK JAMES LEAVITT | DDS | 1912948456 |
| DR. VERNE E TICKNOR | D.D.S. | 1487709069 |
| NORMAN M MALY | D.D.S. | 1366568966 |
| DR. JOHN W BAKER | D.D.S. | 1093044026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.