Provider Demographics
NPI:1316067226
Name:HOLLIS, BRITTON (DDS)
Entity type:Individual
Prefix:
First Name:BRITTON
Middle Name:
Last Name:HOLLIS
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 1:187 SUMMER ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1245
Mailing Address - Country:US
Mailing Address - Phone:781-582-2300
Mailing Address - Fax:
Practice Address - Street 1:187 SUMMER ST
Practice Address - Street 2:SUITE 11
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1245
Practice Address - Country:US
Practice Address - Phone:781-582-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice