Organization
JONES FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY W JONES D.D.S. (OWNER)
(574) 967-4240
Entity
Organization
Contact information
Practice address
905 E COLUMBIA ST, FLORA, IN 46929-1414
(574) 967-4240
Mailing address
905 E COLUMBIA ST, FLORA, IN 46929-1414
(574) 967-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12006502
IN
1223G0001X
General Practice Dentistry
12009872
IN
1223G0001X
General Practice Dentistry
Primary
12010360
IN
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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