Individual
TODD KEVIN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
425 W MAIN ST, LEAD, SD 57754-1644
(605) 584-2983
Mailing address
425 W MAIN ST, LEAD, SD 57754-1644
(605) 584-2983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M456
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M456
STATE LICENSE #
SD
Enumeration date
10/18/2006
Last updated
07/08/2007
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