Individual
DR. WARREN LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
912 W 12TH ST, MCCOOK, NE 69001-2925
(308) 345-1470
(308) 345-2253
Mailing address
PO BOX 21, 912 WEST 12TH STREET, MCCOOK, NE 69001-0021
(308) 345-1470
(308) 345-2253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4554
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07823
BLUE CROSS PROVIDER NUMBE
NE
05
—
470-592-257-00
—
NE
01
—
799607
BLUE CROSS PROVIDER NUMBE
KS
Enumeration date
07/28/2006
Last updated
07/09/2007
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