Whalio Doctors

NPI 1073520300

Scott Jolly

Practitioner General Practice Dentistry North Little Rock, AR

Practice location

Address
4601 Fairway Ave, North Little Rock, AR 72116-8052
Phone
(501) 758-7462
Fax
(501) 758-1696

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3258 (AR)

Registry record

NPI
1073520300
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Aug 2006
Record last updated
8 Jul 2007

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.