Active NPI
The Dental Clinic
- General Practice Dentistry
- North Little Rock, AR
National Provider Identifier
1306100136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- THE DENTAL CLINIC
- Practice address
- 505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147 - Phone
- (501) 758-9140
- NPI assigned
- Jun 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L Jolly Sr., DDS
- Title
- President
- Phone
- (501) 352-6580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Mailing address
505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Phone (501) 758-9140
National Provider Directory
National Provider DirectoryLocations
505 W Pershing Blvd
Ste A
North Little Rock, AR 72114
Phone (501) 758-9140
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- North Little Rock, AR
- NPI 1104029503
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1306100136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"address_2": "SUITE A",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-758-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD",
"address_2": "SUITE A",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142147",
"telephone_number": "501-758-9140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DENTAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-352-6580",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
- Randarius Terry
- Purushottam Bhadra Thapa, M.D.
- The Bridgeway, LLC
- The Carpenter'S Hope Counseling Center, PLLC
- The Center Health & Wellness
- The Healing Place of Lonoke,Inc Dba Freetta Nelson Hemphill, Lcswhill
- The Manor
- The Waters of North Little Rock, LLC
- The Well Premier Psychiatric Services
- Jennifer Michelle Thelus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.