Individual
DR. BRIAN TIMOTHY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
202 OREGON ST, GREENVILLE, SC 29605-1051
(864) 676-9873
(864) 676-9870
Mailing address
202 OREGON ST, GREENVILLE, SC 29605-1051
(864) 676-9873
(864) 676-9870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4107
SC
1223P0221X
Pediatric Dentistry
Primary
4107
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4107
—
SC
Enumeration date
04/20/2006
Last updated
07/16/2008
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