Individual
DR. TRAVIS R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 EXECUTIVE DR, SUITE B, LAFAYETTE, IN 47905-4883
(765) 447-2725
(765) 448-3966
Mailing address
4316 S 900 E, LAFAYETTE, IN 47905-9472
(765) 296-7304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010360
IN
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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