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NPI Code Detail

MEDICARE: DAVID L. JONES, DDS & ASSOCIATES, PC

MEDICARE: DAVID L. JONES, DDS & ASSOCIATES, PC
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 Dentistry6346VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11003916115OTHERVATYPE I NPI

General Provider Information

NPI Number : 1437352937
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID L. JONES, DDS & ASSOCIATES, PC
Provider Business Mailing Address
First Line : 2236 GENERAL BOOTH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3907
Country : US
Telephone Number : 757-412-4003
Fax Number : 757-427-0685
Provider Business Practice Location Address
First Line : 2236 GENERAL BOOTH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3907
Country : US
Telephone Number : 757-427-9300
Fax Number : 757-427-0685
Authorized Official
Title or Position : OWNER
Name : DAVID L JONES
Credential : DDS
Telephone Number : 757-427-9300
Provider Enumeration Date : 06/11/2007
Last Update Date : 08/22/2020

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1003916115 — DR. DAVID L. JONES DDS
Practice Location Address:
2236 GENERAL BOOTH BLVD
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Practice Phone: 757-427-9300
Practice Fax: 757-427-0685
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