Individual
ANDREW THOMAS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5219 ST JOHN DRIVE, NETT LAKE, MN 55772-8232
(218) 757-3295
(218) 757-0234
Mailing address
5219 ST JOHN DRIVE, NETT LAKE, MN 55772-8232
(218) 757-3295
(218) 757-0234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11679
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769473300
—
MN
01
—
D11679
STATE LICENSE
MN
Enumeration date
02/17/2006
Last updated
04/12/2016
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