Organization · Type 2 NPI

Jim H. Polles, D.m.d., P.a.

Dental Clinic/Center · Jackson, MS

NPI number 1720413768 Active

Practice location

1836 Crane Ridge Dr, Suite A
Jackson, MS 39216-4901

Call (601) 362-1118 Map

Fax (601) 362-3113

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X3402-06 (MS)

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1720413768

Jim H. Polles, D.m.d., P.a.'s National Provider Identifier is 1720413768, issued on Sep 10, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson, MS. The record was last updated on Sep 10, 2013.