Brandon Jolley DDS PA LLC

NPI #1104691096 in Bangor, Maine

Provider Information

NPI Number: 1104691096
Entity Type: Organization
Organization Name: Brandon Jolley DDS PA LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 20, 2023
Last Updated: Nov 28, 2023

Practice Location

Address: 700 MOUNT HOPE AVE STE 610
City: Bangor
State: Maine
ZIP Code: 04401-5673
Phone: (207) 945-5952

Authorized Official

Name: DR. BRANDON JOLLEY, DDS
Title: OWNER/DENTIST
Phone: (505) 401-4923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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