Organization
JACKSON METRO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM H POLLES DDS (DENTIST)
(662) 834-1585
Entity
Organization
Contact information
Practice address
102 WALL ST, LEXINGTON, MS 39095-3540
(662) 834-1585
(662) 834-1583
Mailing address
PO BOX 297, 102 WALL STREET, LEXINGTON, MS 39095-0297
(662) 834-1585
(662) 834-1583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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