Healthcare Provider Details

I. General information

NPI: 1407532278
Provider Name (Legal Business Name): TERRIANA JONES DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 GODWIN DR
WILLIAMSTON NC
27892-6828
US

IV. Provider business mailing address

1130 GODWIN DR
WILLIAMSTON NC
27892-6828
US

V. Phone/Fax

Practice location:
  • Phone: 252-789-0401
  • Fax:
Mailing address:
  • Phone: 252-789-0401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14312
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: