Individual
DR. JIM H POLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1836 CRANE RIDGE DR, SUITE A, JACKSON, MS 39216-4901
(601) 362-1118
(601) 362-3113
Mailing address
1836 CRANE RIDGE DR, JACKSON, MS 39216-4901
(601) 362-1118
(601) 362-3113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3402-06
MS
122300000X
Dentist
7754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223877136
TAX ID
TN
01
—
260182567
TAX ID
MS
Enumeration date
08/08/2006
Last updated
04/07/2010
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