MEDICARE: DR. CAROL J JONES-CRALL 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	60337	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841288974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL J JONES-CRALL DDS

Provider Business Mailing Address
First Line	:	707 MINNESOTA AVE
Second Line	:	SUITE 100
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2516
Country	:	US
Telephone Number	:	913-321-4385
Fax Number	:	913-321-4037

Provider Business Practice Location Address
First Line	:	707 MINNESOTA AVE
Second Line	:	SUITE 100
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2516
Country	:	US
Telephone Number	:	913-321-4385
Fax Number	:	913-321-4037

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	06/17/2015

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