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General NPI Number Information
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NPI Number | 1689579922
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Entity Type | Organization
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Legal Business Name | SCOTT D JOLLY, DDS PA
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 8116 CANTRELL RD STE C
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City | LITTLE ROCK
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State | AR
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Zip | 72227-2502
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Country | US
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Telephone | 501-227-5200
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Fax | 501-737-2046
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Provider Business Mailing Address
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Address Line | 8116 CANTRELL RD STE C
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City | LITTLE ROCK
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State | AR
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Zip | 72227-2502
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Country | US
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Telephone | 501-227-5200
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Fax | 501-737-2046
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT DOUGLAS JOLLY
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Credential | DDS
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Telephone | 501-607-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NULL
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