NPI 1104691096
Brandon Jolley DDS PA LLC
Practice location
- Address
- 700 Mount Hope Ave STE 610, Bangor, ME 04401-5673
- Phone
- (207) 945-5952
- Fax
- (207) 945-5761
Authorised official
- Name
- Brandon Jolley
- Title
- Owner/Dentist
- Phone
- (505) 401-4923
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1104691096
- Entity type
- Organization
- NPI issued
- 20 Nov 2023
- Record last updated
- 28 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.