Kelly Michele Hollis, DDS | |
2320 Dogwood Road, Dover, PA 17315 | |
(717) 845-9664 | |
(717) 845-9666 |
Full Name | Kelly Michele Hollis |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 2320 Dogwood Road, Dover, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447671805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS030780L (Pennsylvania) | Primary |
Entity Name | Kelly Hollis Dds Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023176260 PECOS PAC ID: 3577992635 Enrollment ID: O20200411000234 |
Mailing Address | Practice Location Address |
---|---|
Kelly Michele Hollis, DDS 2320 Dogwood Road, Dover, PA 17315 Ph: (717) 845-9664 | Kelly Michele Hollis, DDS 2320 Dogwood Road, Dover, PA 17315 Ph: (717) 845-9664 |
Dr. Barry David Shapiro, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3201 Carlisle Rd, Dover, PA 17315 Phone: 717-292-5131 | |
Jod Lionel Stabley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2320 Dogwood Rd, Dover, PA 17315 Phone: 717-292-6548 Fax: 717-292-7944 | |
Dr. George L Hamm, DMD Dentist Medicare: Medicare Enrolled Practice Location: 74 E Canal St, Dover, PA 17315 Phone: 717-292-1081 |