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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN LEONARD HOLLER, DMD

Deactivated Sole Proprietor

DR. JOHN LEONARD HOLLER, DMD is a General Dentistry healthcare provider located in STOCKTON, California. NPI 1720275688 is deactivated in the NPPES registry. Verify at CMS.

General Dentistry · STOCKTON, CA

This NPI has been deactivated. The record was deactivated on January 24, 2013. Deactivated NPIs are no longer valid for billing or credentialing.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
1720275688
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2007 (5.3315068493151 yrs)
Last Updated
Mar 7, 2016
Deactivated
Jan 24, 2013
Licenses
25905 (CA)
25905 (CA)
Sole Proprietor
Yes

Practice Information

Address
1147 W. SWAIN ROAD
STOCKTON, CA, 95207
Browse CA providers · Browse ZIP 95207
Phone
2094751750
Fax
2094751751
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in STOCKTON, CA

Name Credential NPI
DR. KARIM AHMAD SAMY EL NOKRASHY DDS 1699770966
DR. MARK T CHAO D.D.S. 1801876842
NOE MORA DMD 1285693168
DR. DOUGLAS YEE FONG D.D.S. 1710949136
DR. RICHARD VINCE SIXKILLER DDS 1972552057
DR. JEFFREY PHEN DDS 1043262744
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.