OrganizationActive
Brandon Jolley DDS PA LLC
NPI 1104691096 · General Practice Dentistry · Bangor, ME
Brandon Jolley DDS PA LLC is a General Practice Dentistry organization in Bangor, ME (NPI 1104691096).
Provider details
- NPI number
- 1104691096
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brandon Jolley, Owner/Dentist(505) 401-4923
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673
Phone: (207) 945-5952
Fax: (207) 945-5761
Street-level locationGet directions
Mailing address
700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673
Other names (DBA / former)
- Doing business as
- Evergreen Woods Dental
- Doing business as
- Evergreen Woods Dentistry
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Brandon Jolley DDS PA LLC's NPI number?
- Brandon Jolley DDS PA LLC's National Provider Identifier (NPI) is 1104691096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brandon Jolley DDS PA LLC?
- Brandon Jolley DDS PA LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Brandon Jolley DDS PA LLC located?
- Brandon Jolley DDS PA LLC's practice location on file with NPPES is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673.
- What is Brandon Jolley DDS PA LLC's phone number?
- The practice phone number listed in the NPPES registry for Brandon Jolley DDS PA LLC is (207) 945-5952.
- Who is the authorized official for Brandon Jolley DDS PA LLC?
- The authorized official listed on Brandon Jolley DDS PA LLC's NPPES record is Brandon Jolley, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brandon Jolley DDS PA LLC's NPI active?
- Yes — Brandon Jolley DDS PA LLC's NPI (1104691096) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.