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

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