Healthcare Provider Details

I. General information

NPI: 1750218111
Provider Name (Legal Business Name): TERRENCE WILLIAM JONES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SCRIPPS DRIVE, STE 2
SACRAMENTO CA
95825
US

IV. Provider business mailing address

4170 TRUXEL ROAD STE C
SACRAMENTO CA
95834
US

V. Phone/Fax

Practice location:
  • Phone: 916-929-6631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JAGDEV HEIR
Title or Position: CEO/PRESIDENT
Credential: MD, DMD, FACS
Phone: 518-441-5483