Individual
DR. GARY HUGH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 E LEHIGH AVE, PM2, PHILADELPHIA, PA 19125-1011
(215) 707-3613
(215) 707-5405
Mailing address
101 E LEHIGH AVE, PM2, PHILADELPHIA, PA 19125-1011
(215) 707-3613
(215) 707-5405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019871L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097200
IBC PERSONAL CHOICE
PA
01
—
0048317000
IBC - KHPE
PA
01
—
3254
AETNA MEDICAL
PA
01
—
J97200
AMERIHEALTH ADMINISTRATOR
PA
Enumeration date
01/28/2006
Last updated
12/10/2012
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