Jim H Polles is a Dentist in Jackson, Mississippi. Jim H Polles practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jim H Polles is 1669482014. The last update date is 2010-04-07.
Jim H Polles's current location address is 1836 Crane Ridge Dr, Jackson, Mississippi. You can contact this provider via phone number 6013621118 and fax number 6013623113. The mailing address for Jim H Polles is 1836 Crane Ridge Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim H Polles |
|---|---|
| Address | 1836 Crane Ridge Dr, Jackson, Mississippi |
| Phone Number | 6013621118 |
| Fax Number | 6013623113 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1669482014 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2010-04-07 |
Provider Mailing Address Detail
| Address | 1836 Crane Ridge Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164901 |
| Phone Number | 6013621118 |
| Fax Number | 6013623113 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7754 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260182567 | MS | TAX ID | |
| 223877136 | TN | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Jim H Polles by the Centers for Medicare & Medicaid Services (CMS)?
The Jim H Polles has been assigned the NPI (National Provider Identifier) 1669482014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jim H Polles?
The Jim H Polles is physically situated at 1836 Crane Ridge Dr, in the city of Jackson, state of MS, with the postal code 392164901.
What is the area of specialization for Jim H Polles, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jim H Polles is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the Jim H Polles's 1669482014 issued?
The Jim H Polles's 1669482014 was issued on 2006-08-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1669482014 to Jim H Polles?
The Jim H Polles received its 1669482014 assignment from the Centers for Medicare & Medicaid Services on 2006-08-08.