- Practice location
- 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673
- Phone
- 207-945-5952
- Fax
- 207-945-5761
- Last updated
- November 28, 2023
Brandon Jolley DDS PA LLC is a healthcare organization based in Bangor, ME. Brandon Jolley DDS PA LLC practices in Bangor, ME. The NPI Number for Brandon Jolley DDS PA LLC is 1104691096. The current practice location address for Brandon Jolley DDS PA LLC is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673 and can be reached out via phone at 207-945-5952 and via fax at 207-945-5761.
Provider Profile Details
- NPI Number
- 1104691096
- Provider Name
- Brandon Jolley DDS PA LLC
- Provider Entity Type
- Organization
- Address
- 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673
- Phone Number
- 207-945-5952
- Fax Number
- 207-945-5761
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Brandon Jolley, DDS · Owner/Dentist · 505-401-4923
- Other Names
- Evergreen Woods Dentistry (Doing Business As)
Evergreen Woods Dental (Doing Business As) - Provider Enumeration Date
- November 20, 2023
- Last Update Date
- November 28, 2023
- Certification Date
- November 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673 - City
- Bangor
- State
- Maine
- Zip
- 04401-5673
- Phone Number
- 207-945-5952
- Fax Number
- 207-945-5761
Provider Business Mailing Address Details
- Address
- 700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673 - City
- Bangor
- State
- ME
- Zip
- 04401-5673
- Phone Number
- 207-945-5952
- Fax Number
- 207-945-5761
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brandon Jolley DDS PA LLC?
The NPI number of Brandon Jolley DDS PA LLC is 1104691096. It was assigned on November 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Brandon Jolley DDS PA LLC?
Brandon Jolley DDS PA LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Brandon Jolley DDS PA LLC practice?
The practice location is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673. The office can be reached at 207-945-5952 (phone) or 207-945-5761 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104691096 directly on the NPPES registry website.