Individual
LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0600
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007160
VA
208600000X
Surgery Physician
0401-007160
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801815
—
VA
05
—
7805233
—
VA
Enumeration date
03/28/2006
Last updated
02/29/2024
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