# DR. TESA H. JOLLY

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

## Provider details

- **NPI number:** 1518460500
- **Authorized official:** JENNY GOVAR (FRONT OFFICE MANAGER)
- **Authorized official phone:** (931) 363-1564

## Contact information

- **Practice address:** 217 W JEFFERSON ST, PULASKI, TN 38478-2812
- **Practice address phone:** (931) 363-1564
- **Practice address fax:** (931) 363-1559
- **Mailing address:** 217 W JEFFERSON ST, PULASKI, TN 38478-2812
- **Mailing address phone:** (931) 363-1564
- **Mailing address fax:** (931) 363-1559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8941 | TN | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018