James M. Jolly, Jr., D.M.D, PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5604 Issued in KY

Legal business name

JAMES M. JOLLY, JR., D.M.D, PSC

Practice address

1724 N Main St
Hazard, KY 41701-1278

Phone

(606) 439-4581

Fax

(606) 439-2873

NPI assigned

Nov 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Marvin Jolly Jr., D.M.D

Title

Owner

Phone

(606) 439-4581

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1457637522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011278",
            "telephone_number": "606-439-4581",
            "fax_number": "606-439-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011278",
            "telephone_number": "606-439-4581",
            "fax_number": "606-439-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. JOLLY, JR., D.M.D, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-439-4581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hazard, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.