NPI 1073520300
Scott Jolly
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
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.