# JAMES M. JOLLY, JR., D.M.D, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457637522
- **Authorized official:** DR. JAMES MARVIN JOLLY JR. D.M.D (OWNER)
- **Authorized official phone:** (606) 439-4581

## Contact information

- **Practice address:** 1724 N MAIN ST, HAZARD, KY 41701-1278
- **Practice address phone:** (606) 439-4581
- **Practice address fax:** (606) 439-2873
- **Mailing address:** 1724 N MAIN ST, HAZARD, KY 41701-1278
- **Mailing address phone:** (606) 439-4581
- **Mailing address fax:** (606) 439-2873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5604 | KY | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011