MEDICARE: DR. DAVID C JONES,JR. 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	08017	MD

General Provider Information

NPI Number	:	1881809101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C JONES,JR. DDS

Provider Business Mailing Address
First Line	:	4 INDUSTRIAL PARK DR
Second Line	:	SUITE F
City	:	WALDORF
State	:	MD
Zip	:	20602-2757
Country	:	US
Telephone Number	:	301-645-0093
Fax Number	:	301-645-4713

Provider Business Practice Location Address
First Line	:	4 INDUSTRIAL PARK DR
Second Line	:	SUITE F
City	:	WALDORF
State	:	MD
Zip	:	20602-2757
Country	:	US
Telephone Number	:	301-645-0093
Fax Number	:	301-645-4713

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

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