MEDICARE: DR. JOHN H. JONES III D.D.S..

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	005188	VA

General Provider Information

NPI Number	:	1255412797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN H. JONES III D.D.S..

Provider Business Mailing Address
First Line	:	20 PIDGEON HILL DRIVE
Second Line	:	SUITE 206
City	:	STERLING
State	:	VA
Zip	:	20165-6134
Country	:	US
Telephone Number	:	703-406-3606
Fax Number	:	703-404-8522

Provider Business Practice Location Address
First Line	:	20 PIDGEON HILL DRIVE
Second Line	:	SUITE 206
City	:	STERLING
State	:	VA
Zip	:	20165-6134
Country	:	US
Telephone Number	:	703-406-3606
Fax Number	:	703-404-8522

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

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