Matthew Holland | Mechanicsville, VA • PECOS Search

Matthew Holland

Dentist

Dental Providers

8220 Windmill Watch Dr, Mechanicsville, VA 23116-2946

PECOS Enrollment

Based on the most recent information from CMS, provider Matthew Holland does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1114406949
Provider Type
Individual
Full Name
Holland, Matthew
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
8/13/2018
Last Updated
8/13/2018

Contact Information

Practice Location

8220 Windmill Watch Dr, Mechanicsville, VA 23116-2946

Unlisted Fax

Mailing Location

8272 Shane Edmonds Ln, Mechanicsville, VA 23111-4694

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 0401416208 Virginia