Organization
GREG JONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG JONES (DMD PC)
(618) 931-3368
Entity
Organization
Contact information
Practice address
3704 PONTOON RD, GRANITE CITY, IL 62040-4240
(618) 931-3368
Mailing address
3704 PONTOON RD, GRANITE CITY, IL 62040-4240
Taxonomy
Speciality
Code
Description
License number
State
3416S0300X
Water Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000099999
—
IL
Enumeration date
04/14/2008
Last updated
04/14/2008
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