DR. ROBERT L JOLLY JR. DDS
NPI 1184680324
Oral & Maxillofacial Surgery in North Little Rock, AR

Active since April 25, 2006
3001 JFK BLVD, NORTH LITTLE ROCK, AR 72116(501) 758-3095(501) 753-5307 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert L Jolly Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT L JOLLY JR. DDS (NPI 1184680324) is an individual oral & maxillofacial surgery provider in North Little Rock, Arkansas, licensed in Arkansas (3209) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1184680324
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ROBERT L JOLLY JR.Credential: DDS
Location Address3001 JFK BLVDNorth Little Rock, AR 72116-9217
Mailing Address3001 Jfk BlvdNorth Little Rock, AR 72116-9217 · (501) 758-3095 · Fax (501) 753-5307
Fax(501) 753-5307
Sole ProprietorYes
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1184680324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in AR · 3209
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 3209 (AR)
Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X · License 56 (AR)
3001 JFK BLVD, North Little Rock, AR 72116

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert L Jolly Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2026.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
3001 JFK BLVD
NORTH LITTLE ROCK, AR 72116
Dentist (Oral and Maxillofacial Surgery)
3001 JFK BLVD
NO. LITTLE ROCK, AR 72116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184680324, enumerated as an "individual" on April 25, 2006.

The provider is located at 3001 JFK BLVD NORTH LITTLE ROCK, AR 72116 and the phone number is (501) 758-3095.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.