Evergreen Woods Dentistry

LBN: Brandon Jolley Dds Pa Llc
Evergreen Woods Dentistry is an health care organization with primary practice located at 700 Mount Hope Ave Ste 610 , Bangor ME 04401-5673. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brandon Jolley Dds Pa Llc can be contacted via phone (207) 945-5952, or through Jolley, Brandon via phone (505) 401-4923.

Contact Information

Primary practice address
700 Mount Hope Ave Ste 610 Bangor ME 04401-5673
Phone: (207) 945-5952
Fax: (207) 945-5761
Website:
Map and Directions
Authorized official contact:
Name: Jolley, Brandon Doctor of Dental Surgery (DDS)
Phone: (505) 401-4923

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1104691096
LBN Legal business name Brandon Jolley Dds Pa Llc
DBA Doing business as Evergreen Woods Dentistry
Authorized official Jolley, Brandon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2023
Last updated Nov 28th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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