Individual
DR. CLIFFORD B JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
407 S ROAD ST, ELIZABETH CITY, NC 27909-4919
(252) 335-0548
Mailing address
PO BOX 1287, ELIZABETH CITY, NC 27906-1287
(252) 335-0548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7994725
—
NC
Enumeration date
01/24/2007
Last updated
07/08/2007
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