Individual
BLAKE RANDALL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5590 CHALKVILLE RD, BIRMINGHAM, AL 35235-8636
(205) 853-3643
Mailing address
2013 EASTBROOK DR, TRUSSVILLE, AL 35173-1607
(769) 229-8550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007481-C1
AL
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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