BRANDON R JOLLEY DDS
NPI 1366995284
Dentist in Bangor, ME

Q: What is Brandon Jolley's NPI number?

The NPI number for Brandon Jolley is 1366995284. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Q: What is Brandon Jolley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Jolley was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2016PECOS Enrolled

1048 UNION ST, BANGOR, ME 04401(207) 404-8200(207) 947-0435 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2021, May 4, 2021, Jun 30, 2017 (3 updates tracked since 2017).

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About Brandon R Jolley Dds NPPES

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

BRANDON R JOLLEY DDS (NPI 1366995284) is an individual dentist in Bangor, Maine, licensed in Maine (DEN4586) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366995284

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRANDON R JOLLEYCredential: DDS

Location Address1048 UNION STBangor, ME 04401-3016

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200

Phone(207) 404-8200

Fax(207) 947-0435

Sole ProprietorNo

Enumeration DateJuly 27, 2016

Last NPPES UpdateNovember 3, 20213 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1366995284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ME · DEN4586

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1048 UNION ST, Bangor, ME 04401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon R Jolley Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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