Individual
JAMES M JOLLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1724 12 NORTH MAIN STREET, HAZARD, KY 41701
(606) 439-4581
(606) 439-2873
Mailing address
1724 1 2 NORTH MAIN STREET, HAZARD, KY 41701
(606) 439-4581
(606) 439-2873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5604
KY
1223G0001X
General Practice Dentistry
Primary
5604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60056041
—
KY
Enumeration date
02/07/2007
Last updated
08/15/2007
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