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NPI Code Detail

MEDICARE: DR. SARAH JONES D.D.S.

MEDICARE:  DR. SARAH  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
11223G0001XGeneral Practice Dentistry22929TX

General Provider Information

NPI Number : 1467509398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH JONES D.D.S.
Provider Business Mailing Address
First Line : 2551 RIVER PARK DR
Second Line : SUITE #210
City : FORT WORTH
State : TX
Zip : 76116-0689
Country : US
Telephone Number : 817-732-4419
Fax Number : 817-732-4420
Provider Business Practice Location Address
First Line : 2551 RIVER PARK DR
Second Line : SUITE #210
City : FORT WORTH
State : TX
Zip : 76116-0689
Country : US
Telephone Number : 817-732-4419
Fax Number : 817-732-4420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 12/02/2007

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Directions to “ DR. SARAH JONES D.D.S.” Practice Location

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