| Jolly Dental-benton, P.a. | |
|
818 W South St Benton AR 72015-4162 | |
| (501) 776-0564 | |
| Not Available |
| Full Name | Jolly Dental-benton, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 818 W South St, Benton, Arkansas |
| Authorized Official Name and Position | Danielle Brown (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5017587462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolly Dental-benton, P.a. 4601 Fairway Ave North Little Rock AR 72116-8052 Ph: (501) 758-7462 | Jolly Dental-benton, P.a. 818 W South St Benton AR 72015-4162 Ph: (501) 776-0564 |
| NPI Number | 1962399105 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 06/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962399105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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