MEDICARE: JEFFREY A. STRATFORD-JONES, D.D.S., INC.

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	261QD0000X	Dental Clinic/Center	39285	CA

General Provider Information

NPI Number	:	1902286578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY A. STRATFORD-JONES, D.D.S., INC.

Provider Business Mailing Address
First Line	:	5370 HOLLISTER AVE STE E
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2359
Country	:	US
Telephone Number	:	805-967-0344
Fax Number	:	805-964-1230

Provider Business Practice Location Address
First Line	:	5370 HOLLISTER AVE STE E
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2359
Country	:	US
Telephone Number	:	805-967-0344
Fax Number	:	805-964-1230

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY ALAN STRATFORD-JONES
Credential	:	DDS
Telephone Number	:	805-967-0344

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	06/09/2015

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