| Ted W Jolley Dds Pllc | |
|
22450 I 30 Bryant AR 72022 | |
| (501) 847-1889 | |
| (501) 847-4105 |
| Full Name | Ted W Jolley Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22450 I 30, Bryant, Arkansas |
| Authorized Official Name and Position | Ted Wilson Jolley (DENTIST) |
| Authorized Official Contact | 5018471889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted W Jolley Dds Pllc 22450 I 30 Bryant AR 72022 Ph: (501) 847-1889 | Ted W Jolley Dds Pllc 22450 I 30 Bryant AR 72022 Ph: (501) 847-1889 |
| NPI Number | 1982767547 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982767547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3389 (Arkansas) | Primary |
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