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NPI Code Detail

MEDICARE: DR. JEFFREY PAUL JONES DDS

MEDICARE:  DR. JEFFREY PAUL 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
11223G0001XGeneral Practice Dentistry29609CA

General Provider Information

NPI Number : 1609977438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY PAUL JONES DDS
Provider Business Mailing Address
First Line : 11 MAREBLU
Second Line : SUITE 140
City : ALISO VIEJO
State : CA
Zip : 92656-3044
Country : US
Telephone Number : 949-643-3210
Fax Number : 949-454-0641
Provider Business Practice Location Address
First Line : 11 MAREBLU
Second Line : SUITE 140
City : ALISO VIEJO
State : CA
Zip : 92656-3044
Country : US
Telephone Number : 949-643-3210
Fax Number : 949-454-0641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY PAUL JONES DDS” Practice Location

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