OrganizationActive
Kevin Holly DDS PLLC
NPI 1487224754 · General Practice Dentistry · Shoreview, MN
Provider details
- NPI number
- 1487224754
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Holly, President(608) 738-6361
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 Highway 96 W Ste 400
Shoreview, MN 55126-3201
Phone: (651) 482-7564
Street-level locationGet directions
Mailing address
520 Highway 96 W Ste 400
Shoreview, MN 55126-3201
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.