Healthcare Provider Details

I. General information

NPI: 1942458971
Provider Name (Legal Business Name): CARA J. JONES, D.D.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 BELLMEAD DR
BELLMEAD TX
76705-3077
US

IV. Provider business mailing address

3200 BELLMEAD DR
BELLMEAD TX
76705-3077
US

V. Phone/Fax

Practice location:
  • Phone: 254-799-4000
  • Fax:
Mailing address:
  • Phone: 254-799-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number23809
License Number StateTX

VIII. Authorized Official

Name: DR. CARA J JONES
Title or Position: DOCTOR
Credential: D.D.S.
Phone: 254-799-4000