Individual
JUSTIN B JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 S HORACE AVE, TYLER, TX 75702-6159
(903) 526-4900
(903) 526-4907
Mailing address
PO BOX 2039, TYLER, TX 75710-2039
(903) 535-0023
(903) 535-0052
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
23306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23306
DENTAL LICENSE
TX
Enumeration date
06/28/2007
Last updated
07/08/2007
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