Organization
ROY R JOLLEY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY JOLLEY D.D.S. (PRESIDENT)
(501) 664-5615
Entity
Organization
Contact information
Practice address
5 VAN CIR, LITTLE ROCK, AR 72207-5211
(501) 664-5615
(501) 664-9118
Mailing address
5 VAN CIR, LITTLE ROCK, AR 72207-5211
(501) 664-5615
(501) 664-9118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1981
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054631
—
AR
Enumeration date
04/14/2011
Last updated
04/14/2011
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