OrganizationActive
Jim H. Polles, D.M.D., P.A.
NPI 1720413768 · Dental Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1720413768
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jim Polles, Owner/Dentist(601) 362-1118
- License
- 3402-06 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1836 Crane Ridge Dr
Suite a
Jackson, MS 39216-4901
Phone: (601) 362-1118
Fax: (601) 362-3113
Approximate (ZIP-level) locationGet directions
Mailing address
1836 Crane Ridge Dr
Jackson, MS 39216-4901
Other names (DBA / former)
- Other name
- Polles Center for General and Cosmetic Dentistry
Registry dates
- Enumerated
- 2013-09-10
- Last updated
- 2013-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.