Individual
DR. JACKIE S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3700 S RUSSELL ST, #116, MISSOULA, MT 59801-8574
(406) 542-3305
Mailing address
3700 S RUSSELL ST, #116, MISSOULA, MT 59801-8574
(406) 542-3305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1565
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012-3643
—
MT
Enumeration date
07/25/2006
Last updated
07/08/2007
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