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NPI Code Detail

MEDICARE: DR. BRANDON HOWARD JONES DDS

MEDICARE:  DR. BRANDON HOWARD 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
1122300000XDentist6946-15WI

General Provider Information

NPI Number : 1609129162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON HOWARD JONES DDS
Provider Business Mailing Address
First Line : 652 HAMILTON ROAD
Second Line : USA DENTAL ACTIVITY
City : FORT SILL
State : OK
Zip : 73505
Country : US
Telephone Number : 580-442-3905
Fax Number : 580-442-4002
Provider Business Practice Location Address
First Line : 652 HAMILTON ROAD
Second Line : USA DENTAL ACTIVITY
City : FORT SILL
State : OK
Zip : 73505
Country : US
Telephone Number : 580-442-3905
Fax Number : 580-442-4002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2012
Last Update Date : 10/31/2016

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Directions to “ DR. BRANDON HOWARD JONES DDS” Practice Location

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