Individual
DR. ROBERT L JOLLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 JFK BLVD, NORTH LITTLE ROCK, AR 72116-9217
(501) 758-3095
(501) 753-5307
Mailing address
3001 JFK BLVD, NORTH LITTLE ROCK, AR 72116-9217
(501) 758-3095
(501) 753-5307
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3209
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3209
AR
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
56
AR
Other
Enumeration date
04/25/2006
Last updated
10/23/2024
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