MEDICARE: DR. JEANICE ESTELLE 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	1223G0001X	General Practice Dentistry	9279	CO

General Provider Information

NPI Number	:	1639375611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANICE ESTELLE JONES D.D.S.

Provider Business Mailing Address
First Line	:	10450 PARK MEADOWS DR STE 102
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-5528
Country	:	US
Telephone Number	:	303-790-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	10450 PARK MEADOWS DR STE 102
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-5528
Country	:	US
Telephone Number	:	303-790-4300
Fax Number	:

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

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	12/12/2024

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Directions to “ DR. JEANICE ESTELLE JONES D.D.S.” Practice Location

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