Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Jolley DDS PA LLC

Organization General Practice Dentistry · NPI 1104691096

Brandon Jolley DDS PA LLC is a General Practice Dentistry in Bangor, Maine. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673
Phone: (207) 945-5952
Fax: (207) 945-5761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104691096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Jolley — Owner/Dentist · (505) 401-4923
Other names Evergreen Woods Dental; Evergreen Woods Dentistry
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673

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