Individual
THERON M JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5819 CAMPBELLTON RD SW, SUITE 103, ATLANTA, GA 30331-8046
(706) 627-3054
(404) 349-8058
Mailing address
5819 CAMPBELLTON RD SW, SUITE 103, ATLANTA, GA 30331-8046
(706) 627-3054
(404) 349-8058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013061
GA
1223G0001X
General Practice Dentistry
21478
MA
1223G0001X
General Practice Dentistry
8338
TN
Other
Enumeration date
03/29/2006
Last updated
06/18/2013
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