Healthcare Provider Details

I. General information

NPI: 1003080441
Provider Name (Legal Business Name): BARBARA ANN JONES DEVERAUX RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3318 3RD AVE N SUITE 100
BILLINGS MT
59101-1900
US

IV. Provider business mailing address

33183RD AVE N SUITE 100
BILLINGS MT
59106-4113
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3149
  • Fax: 406-245-6636
Mailing address:
  • Phone: 406-248-3149
  • Fax: 406-245-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number960
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: