MEDICARE: DR. JASON ALLEN JONES D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		PA
2	390200000X	Student in an Organized Health Care Education/Training Program		CA
3	122300000X	Dentist	8929	AZ

General Provider Information

NPI Number	:	1013350677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON ALLEN JONES D.M.D.

Provider Business Mailing Address
First Line	:	18478 N 97TH WAY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-2552
Country	:	US
Telephone Number	:	904-386-5479
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5304
Country	:	US
Telephone Number	:	284-823-5189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2013
Last Update Date	:	01/03/2024

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