Organization
JOLLY DENTAL-BENTON, P.A.
Active
Other names
JFD-Benton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE BROWN (PRACTICE ADMINISTRATOR)
(501) 758-7462
Entity
Organization
Contact information
Practice address
818 W SOUTH ST, BENTON, AR 72015-4162
(501) 776-0564
Mailing address
4601 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8052
(501) 758-7462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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