Healthcare Provider Details
I. General information
NPI: 1841308087
Provider Name (Legal Business Name): DUANNE W.P. JONES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2006
Last Update Date: 03/07/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9151 ESTATE THOMAS STE 203
ST THOMAS VI
00802-2716
US
IV. Provider business mailing address
9151 ESTATE THOMAS STE 203
ST THOMAS VI
00802-2716
US
V. Phone/Fax
- Phone: 340-776-6056
- Fax:
- Phone: 340-643-4576
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | 1207 |
| License Number State | VI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 1207 |
| License Number State | VI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: