Individual
DR. STACEY S JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,L.L.C.
Contact information
Practice address
1611 JIMMIE DAVIS HWY, SUITE B, BOSSIER CITY, LA 71112-4556
(318) 742-0800
(318) 742-0832
Mailing address
1611 JIMMIE DAVIS HWY, SUITE B, BOSSIER CITY, LA 71112-4556
(318) 742-0800
(318) 742-0832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5033
LA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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