Jolly, James M

Jolly, James M is an individual health care provider with primary practice located at 1724 12 North Main Street , Hazard KY 41701. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Jolly, James M can be contacted via phone (606) 439-4581.

Contact Information

Primary practice address
1724 12 North Main Street Hazard KY 41701
Phone: (606) 439-4581
Fax: (606) 439-2873
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5604 Kentucky
Dental Providers / Dentist 122300000X 5604 Kentucky

Profile Details

NPI number 1417097957
LBN Legal business name Jolly, James M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417097957 NPPES
Kentucky MEDICAID 60056041

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