MEDICARE: DR. RODNEY K. JONES DDS

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	1223G0001X	General Practice Dentistry	32099	CA

General Provider Information

NPI Number	:	1427059047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY K. JONES DDS

Provider Business Mailing Address
First Line	:	1213 N LAKE AVE
Second Line	:	SUITE #1
City	:	PASADENA
State	:	CA
Zip	:	91104-3768
Country	:	US
Telephone Number	:	626-584-1800
Fax Number	:	626-398-1811

Provider Business Practice Location Address
First Line	:	1213 N LAKE AVE
Second Line	:	SUITE #1
City	:	PASADENA
State	:	CA
Zip	:	91104-3768
Country	:	US
Telephone Number	:	626-584-1800
Fax Number	:	626-398-1811

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	07/08/2007

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