Whalio Doctors

NPI 1184680324

Robert L Jolly, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) North Little Rock, AR

Practice location

Address
3001 Jfk Blvd, North Little Rock, AR 72116-9217
Phone
(501) 758-3095
Fax
(501) 753-5307

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 3209 (AR)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 3209 (AR)
Oral and Maxillofacial Surgery Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS0112X Licence 56 (AR)

Registry record

NPI
1184680324
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Apr 2006
Record last updated
23 Oct 2024

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.