Organization · Type 2 NPI

Brandon Jolley DDS PA LLC

General Practice Dentistry · Bangor, ME

NPI number 1104691096 Active

Practice location

700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673

Fax (207) 945-5761

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Bangor

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NPI record

NPI: 1104691096
Entity type: Organization (Type 2)
Issued: Nov 20, 2023
Last updated: Nov 28, 2023
Status: Active

Other names

<unavail>
Evergreen Woods Dental · doing business as
Evergreen Woods Dentistry · doing business as

Authorized official

Dr. Brandon Jolley, DDS
Owner/dentist
(505) 401-4923

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About NPI 1104691096

Brandon Jolley DDS PA LLC's National Provider Identifier is 1104691096, issued on Nov 20, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bangor, ME. The record was last updated on Nov 28, 2023.