Organization
DONALD A JONES DDS
Active
Other names
Back to Basics Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA JEANENE MOON (INSUR COORDINATOR)
(931) 645-8000
Entity
Organization
Contact information
Practice address
1762 HIGHWAY 48, CLARKSVILLE, TN 37040
(931) 645-8000
(931) 645-8046
Mailing address
1762 HIGHWAY 48, CLARKSVILLE, TN 37040
(931) 645-8000
(931) 645-8046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4722
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01385805
UNITED CONCORDIA
—
01
—
3082656
BCBS
TN
Enumeration date
08/19/2006
Last updated
07/28/2008
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