Organization
TED W JOLLEY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED WILSON JOLLEY DDS (DENTIST)
(501) 847-1889
Entity
Organization
Contact information
Practice address
22450 I 30, BRYANT, AR 72022
(501) 847-1889
(501) 847-4105
Mailing address
22450 I 30, BRYANT, AR 72022
(501) 847-1889
(501) 847-4105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3389
AR
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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