Individual
DR. MAXIE GENE JOLLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
208 PROFESSIONAL CIR, MOREHEAD CITY, NC 28557-4302
(252) 247-3010
Mailing address
4005 GALANTIS DR APT 206D, MOREHEAD CITY, NC 28557-0105
(252) 722-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12766
NC
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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