Individual
DR. GARY T JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1295 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-9216
Mailing address
1295 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-9216
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899006J
—
NC
Enumeration date
11/07/2005
Last updated
01/31/2017
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