# GREG JONES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750555470
- **Authorized official:** GREG JONES (DMD PC)
- **Authorized official phone:** (618) 931-3368

## Contact information

- **Practice address:** 3704 PONTOON RD, GRANITE CITY, IL 62040-4240
- **Practice address phone:** (618) 931-3368
- **Mailing address:** 3704 PONTOON RD, GRANITE CITY, IL 62040-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416S0300X | Water Ambulance | — | IL | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000099999 | — | IL |
