Healthcare Provider Details
I. General information
NPI: 1801461181
Provider Name (Legal Business Name): DUANNE W. JONES, DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2021
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
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: 340-776-8161
- Phone: 407-766-0563
- Fax: 340-776-8161
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DUANNE
W
JONES
Title or Position: DENTIST
Credential: DDS
Phone: 340-643-4576