James M. Jolly, Jr., D.m.d, Psc

NPI #1457637522 in Hazard, Kentucky

Provider Information

NPI Number: 1457637522
Entity Type: Organization
Organization Name: James M. Jolly, Jr., D.m.d, Psc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2011
Last Updated: Nov 2, 2011

Practice Location

Address: 1724 N MAIN ST
City: Hazard
State: Kentucky
ZIP Code: 41701-1278
Phone: (606) 439-4581

Authorized Official

Name: DR. JAMES MARVIN JOLLY JR., D.M.D
Title: OWNER
Phone: (606) 439-4581

Specialties & Taxonomy Codes

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

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