Individual
LISA REBECCA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
30 N 1900 E # 3B400, SALT LAKE CITY, UT 84132-0002
(801) 581-8419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12328725-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12328725-9921
UT
Other
Enumeration date
05/05/2021
Last updated
09/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us