Individual
DR. SHANNON ELIZABETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 N 11TH AVE, BOZEMAN, MT 59715-3262
(406) 586-9725
Mailing address
108 N 11TH AVE, BOZEMAN, MT 59715-3262
(406) 586-9725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2107
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5512352
CHIPS
MT
Enumeration date
03/26/2007
Last updated
07/08/2007
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