Individual
MARCUS HARDEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1103 BROWN ST, WASHINGTON, NC 27889-3766
(252) 946-3355
(252) 948-0578
Mailing address
1103 BROWN ST, WASHINGTON, NC 27889-3766
(252) 946-3355
(252) 948-0578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8168
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01829
BCBS
NC
05
—
5905036
—
NC
01
—
8168
DELTA
NC
01
—
UC1906051
UNITED CONCORDIA
—
Enumeration date
07/28/2006
Last updated
01/07/2010
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