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Brandon Jolley DDS PA LLC — NPI 1104691096, Bangor, ME | NPI Central

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NPI 1104691096

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Brandon Jolley DDS PA LLC

NPI 1104691096 · General Practice Dentistry · Bangor, ME

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

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

700 Mount Hope Ave Ste 610

Bangor, ME 04401-5673

Phone: (207) 945-5952

Fax: (207) 945-5761

Approximate (ZIP-level) locationGet directions

More ME providers

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

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.