MEDICARE: DR. VENETRA JONES D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9738	TN

General Provider Information

NPI Number	:	1275895724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENETRA JONES D.D.S

Provider Business Mailing Address
First Line	:	451 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-2842
Country	:	US
Telephone Number	:	615-256-7543
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-2842
Country	:	US
Telephone Number	:	615-256-7543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	08/16/2013

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