Individual
DR. KENNETH THOMAS JONES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 NE 13TH ST, VA MEDICAL CENTER, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
(405) 290-1650
Mailing address
36302 W OLD HIGHWAY 270, SHAWNEE, OK 74804-8824
(405) 973-5844
(405) 270-5139
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
17489
TX
1223P0700X
Prosthodontics
Primary
4079
OK
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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