JEFFREY L HOLLIS DDS
NPI 1386640480
Dentist - General Practice in South Haven, MI

Active since June 23, 2005
11282 M 140, SOUTH HAVEN, MI 49090(269) 637-8611(269) 637-8956 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey L Hollis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY L HOLLIS DDS (NPI 1386640480) is an individual general practice provider in South Haven, Michigan, licensed in Michigan (2901012614) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1386640480
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEFFREY L HOLLISCredential: DDS
Location Address11282 M 140South Haven, MI 49090-9405
Mailing Address11282 M 140South Haven, MI 49090-9405 · (269) 637-8611 · Fax (269) 637-8956
Fax(269) 637-8956
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1386640480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901012614
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11282 M 140, South Haven, MI 49090

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
11282 M 140
SOUTH HAVEN, MI 49090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Hollis's NPI number?

The NPI number for Jeffrey Hollis is 1386640480. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Jeffrey Hollis located?

Jeffrey Hollis practices at 11282 M 140, South Haven, MI 49090. The listed phone number is (269) 637-8611.

What is Jeffrey Hollis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeffrey Hollis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.