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

Dr. Jim H Polles, DMD

Individual provider Dentist · NPI 1669482014

Dr. Jim H Polles, DMD is a Dentist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi and Tennessee.

Licensed in
MS, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1836 Crane Ridge Dr Ste A
Jackson, MS 39216-4901
Phone: (601) 362-1118
Fax: (601) 362-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3402-06 (MS)
Dentist Taxonomy 122300000X · Licence 7754 (TN)

Record details

NPI number1669482014
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESApril 7, 2010
Mailing address1836 Crane Ridge Dr, Jackson, MS 39216-4901

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