Jolly Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOLLY DENTAL GROUP, LLC

Practice address

4601 Fairway Ave
North Little Rock, AR 72116-8052

Phone

(501) 758-7462

Fax

(501) 758-1696

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Jolly

Title

Dentist

Phone

(501) 758-7462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1760498596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168052",
            "telephone_number": "501-758-7462",
            "fax_number": "501-758-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168052",
            "telephone_number": "501-758-7462",
            "fax_number": "501-758-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-758-7462",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Deloach Johnson, PHARMD
• Tammy Johnson
• Makenzie Grace Johnston
• Ryan Scott Johnston I, OTR/L
• Stefanie J. Johnston, LCSW
• Bradley Wilson Jolly
• Robert L Jolly Jr., DDS
• Robert L Jolly
• Scott Jolly
• Jon M. Jones

• General Practice Dentistry in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.