Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Holly DDS PLLC

Organization General Practice Dentistry · NPI 1487224754

Kevin Holly DDS PLLC is a General Practice Dentistry in Shoreview, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 Highway 96 W Ste 400
Shoreview, MN 55126-3201
Phone: (651) 482-7564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1487224754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Holly — President · (608) 738-6361
NPI enumeratedJune 29, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address520 Highway 96 W Ste 400, Shoreview, MN 55126-3201

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