Individual
DR. CHARLES WAYNE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1310 NASH STREET NORTH, WILSON, NC 27893
(252) 237-3117
Mailing address
1310 NASH STREET NORTH, WILSON, NC 27893
(252) 237-3117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3934
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3934
DELTA DENTAL
NC
05
—
8994025
—
NC
01
—
94025
BLUE CROSS BLUE SHD
NC
Enumeration date
10/05/2006
Last updated
07/08/2007
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