Organization
BRANDON JOLLEY DDS PA LLC
Active
Other names
Evergreen Woods Dental, Evergreen Woods Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON JOLLEY DDS (OWNER/DENTIST)
(505) 401-4923
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE STE 610, BANGOR, ME 04401-5673
(207) 945-5952
(207) 945-5761
Mailing address
700 MOUNT HOPE AVE STE 610, BANGOR, ME 04401-5673
(207) 945-5952
(207) 945-5761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/28/2023
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