Organization
KERT D JOLLEY DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERT D JOLLEY (PRESIDENT)
(770) 254-8787
Entity
Organization
Contact information
Practice address
2819 HIGHWAY 34 E, NEWNAN, GA 30265-1331
(770) 254-8787
Mailing address
2819 HIGHWAY 34 E, NEWNAN, GA 30265-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11218
GA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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