James M Jolly JR., DMD

NPI #1417097957 in Hazard, Kentucky

Provider Information

NPI Number: 1417097957
Entity Type: Individual
Name: James M Jolly JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Feb 7, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 1724 12 NORTH MAIN STREET
City: Hazard
State: Kentucky
ZIP Code: 41701
Phone: (606) 439-4581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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