Provider Demographics
NPI:1639512254
Name:HOLLAND, SETH ADAM (DMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ADAM
Last Name:HOLLAND
Suffix:
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 1:330 S GARDEN WAY # 190A
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8176
Mailing Address - Country:US
Mailing Address - Phone:541-686-4953
Mailing Address - Fax:541-747-6494
Practice Address - Street 1:330 S GARDEN WAY STE 190
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8184
Practice Address - Country:US
Practice Address - Phone:541-747-0101
Practice Address - Fax:541-747-6494
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD100191223G0001X, 122300000X
NMTD-00-58122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice