Individual
DR. HARRY E JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 954-3054
Mailing address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 954-3054
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125547
BCBSTN PROVIDER NUMBER
TN
05
—
3225458
—
TN
01
—
4665172
AETNA PROVIDER NUMBER
TN
Enumeration date
05/23/2005
Last updated
07/01/2016
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