ROY R JOLLEY DDS NPI 1386934016

NPI Information

  • NPI: 1386934016
  • Provider Name: ROY R JOLLEY DDS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5 VAN CIR
    LITTLE ROCK, AR
    ZIP 72207
  • Phone: (501) 664-5615

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NPI Details

ROY R JOLLEY DDS is a dental clinic center in Little Rock, AR. ROY R JOLLEY DDS NPI is 1386934016. The provider is registered as an organization entity type.

The provider's business location address is:

5 VAN CIR
LITTLE ROCK, AR
ZIP 72207-211
Phone: (501) 664-5615
Fax: (501) 664-9118

The provider's authorized official is Roy Jolley .
The authorized official title is President and has the following contact phone number (501) 664-5615.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 4/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental1981ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110054631MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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