# DR. STEPHANIE D JOLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760630610
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019.027751 | IL | — |
| 1223G0001X | General Practice Dentistry | 12011254A | IN | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 01/11/2022