Provider Demographics
NPI:1538452685
Name:HOLLAND, BRACEY HYERS SR (DMD)
Entity type:Individual
Prefix:DR
First Name:BRACEY
Middle Name:HYERS
Last Name:HOLLAND
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4829
Mailing Address - Country:US
Mailing Address - Phone:912-352-4386
Mailing Address - Fax:
Practice Address - Street 1:5901 ABERCORN STREET
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-355-5901
Practice Address - Fax:912-355-5920
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014218122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist