Provider Demographics
NPI:1306054887
Name:HOLLINGSHEAD, WILLIAM P (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:HOLLINGSHEAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 MILLCREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1352
Mailing Address - Country:US
Mailing Address - Phone:302-998-1951
Mailing Address - Fax:
Practice Address - Street 1:100 CHRISTIANA VILLAGE PROFESSIONAL CENTER
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702
Practice Address - Country:US
Practice Address - Phone:302-738-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE10951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDE0457OtherSTATE NARCOTIC NUMBER
DEBH6014221OtherDEA