Individual
DR. KEITH HOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
79 MAPLE STREET, E LONGMEADOW, MA 01028
(413) 525-6821
(413) 525-5280
Mailing address
79 MAPLE STREET, E LONGMEADOW, MA 01028
(413) 525-6821
(413) 525-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18409
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188
DELTA DENTAL
MA
01
—
V05123
BCBS OF MA
MA
01
—
X10693
BCBS OF MA GROUP
MA
Enumeration date
03/22/2007
Last updated
07/08/2007
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