Organization
JIM H. POLLES, D.M.D., P.A.
Active
Other names
Polles Center for General and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM H POLLES D.M.D. (OWNER/DENTIST)
(601) 362-1118
Entity
Organization
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, SUITE A, JACKSON, MS 39216-4901
(601) 362-1118
(601) 362-3113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3402-06
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051807
—
MS
Enumeration date
09/10/2013
Last updated
09/10/2013
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