Individual
DR. BRADLEY EUGENE JOLLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
785 OLD HICKORY BLVD, SUITE 100, BRENTWOOD, TN 37027-4512
(615) 373-5930
(615) 373-0222
Mailing address
785 OLD HICKORY BLVD, SUITE 100, BRENTWOOD, TN 37027-4512
(615) 373-5930
(615) 373-0222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7352
TN
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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