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NPI Code Detail

MEDICARE: DR. MELISSA JANE JONES D.M.D.

MEDICARE:  DR. MELISSA JANE 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
11223G0001XGeneral Practice Dentistry8253KY
2122300000XDentist8253KY

General Provider Information

NPI Number : 1194720151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA JANE JONES D.M.D.
Provider Business Mailing Address
First Line : PO BOX 1049
Second Line :
City : BEREA
State : KY
Zip : 40403-3049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 PAULINE DR
Second Line : SUITE H
City : BEREA
State : KY
Zip : 40403-8005
Country : US
Telephone Number : 859-985-0201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/27/2010

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Directions to “ DR. MELISSA JANE JONES D.M.D.” Practice Location

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