Healthcare Provider Details

I. General information

NPI: 1023348620
Provider Name (Legal Business Name): ASHLEIGH AND CHANDLER JONES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COUNTRY CLUB RD VILLAGE WEST ONE BLDG #4
GILFORD NH
03249-6972
US

IV. Provider business mailing address

PO BOX 7325
LACONIA NH
03247-7325
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-8250
  • Fax:
Mailing address:
  • Phone: 603-524-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANT CHANDLER JONES
Title or Position: OWNER
Credential: DMD
Phone: 603-524-8250