Dr. Dennis Jon Holly, DMD
Dentist in Bend, OR. Individual provider (NPI-1).
NPI number1649596248
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1649596248
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dennis Jon Holly
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2010
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | d8793 | OR | Yes |
Practice location
701 Nw Arizona Ave Ste 100Bend, OR 97703-3298
Phone 541-317-5732
Mailing address
701 Nw Arizona Ave Ste 100Bend, OR 97703-3298
Phone 541-317-5732
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