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NPI Code Detail

MEDICARE: LAURA JONES RDH

MEDICARE: LAURA JONES RDH
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
1124Q00000XDental Hygienist13542TX

General Provider Information

NPI Number : 1497871388
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA JONES RDH
Provider Business Mailing Address
First Line : 801 LAKE FOREST TRL
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-8440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8608 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3316
Country : US
Telephone Number : 214-619-6329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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