institution
Jim H. Polles, D.m.d., P.a.
Dental Clinic/Center in Jackson, Mississippi
NPI 1720413768

Jim H. Polles, D.m.d., P.a. is a Dental Clinic/Center based in Jackson, MS and is specialized in Dental. Jim H. Polles, D.m.d., P.a. practices in Jackson, MS. The NPI Number for Jim H. Polles, D.m.d., P.a. is 1720413768 and holds a License No. 3402-06 (Mississippi).

The current practice location address for Jim H. Polles, D.m.d., P.a. is 1836 Crane Ridge Dr, Jackson, MS and can be reached out via phone at 601-362-1118 and via fax at 601-362-3113. You can also correspond with Jim H. Polles, D.m.d., P.a. through the mailing address at 1836 CRANE RIDGE DR, JACKSON, MS - 39216-4901 (mailing address contact number: 601-362-1118).

Location: 1836 Crane Ridge Dr, Jackson, MS, 39216-4901
institution
Provider Profile Details
NPI Number
1720413768
Provider Name
Jim H. Polles, D.m.d., P.a.
Credential
Provider Entity Type
Organization
Address
1836 Crane Ridge Dr, Jackson, MS, 39216-4901
Phone Number
601-362-1118
Fax Number
601-362-3113
Provider Enumeration Date
09/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00051807 05 MS
institution
Provider Business Practice Location Address Details
Address
1836 Crane Ridge Dr
City
State
Zip
39216-4901
Phone Number
601-362-1118
Fax Number
601-362-3113
person
Provider Business Mailing Address Details
Address
1836 Crane Ridge Dr
City
State
Zip
39216-4901
Phone Number
601-362-1118
Fax Number
601-362-3113
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3402-06 (Mississippi)
Definition
Definition to come...
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