Todd Lawrence Jolly is a Dentist in Nutley, New Jersey. Todd Lawrence Jolly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Todd Lawrence Jolly is 1922110667. The last update date is 2007-07-08.
Todd Lawrence Jolly's current location address is 629 Franklin Ave, Nutley, New Jersey. You can contact this provider via phone number 9732350333 and fax number 9735629520. The mailing address for Todd Lawrence Jolly is 629 Franklin Ave, Nutley, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Lawrence Jolly |
|---|---|
| Address | 629 Franklin Ave, Nutley, New Jersey |
| Phone Number | 9732350333 |
| Fax Number | 9735629520 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922110667 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 629 Franklin Ave |
|---|---|
| City | Nutley |
| State | New Jersey (NJ) |
| Post Code | 71101209 |
| Phone Number | 9732350333 |
| Fax Number | 9735629520 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DI16963 |
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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 |
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What is the unique identification code assigned to Todd Lawrence Jolly by the Centers for Medicare & Medicaid Services?
The Todd Lawrence Jolly has been issued the NPI (National Provider Identifier) 1922110667. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Todd Lawrence Jolly?
The Todd Lawrence Jolly is physically situated at 629 Franklin Ave, in the city of Nutley, state of NJ, with the postal code 71101209.
What is Todd Lawrence Jolly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Todd Lawrence Jolly is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date was the 1922110667 assigned to Todd Lawrence Jolly?
The Todd Lawrence Jolly was issued its 1922110667 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Todd Lawrence Jolly most recently updated or refreshed?
The details pertaining to the Todd Lawrence Jolly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.