MEDICARE: DANIEL P. JONES, D.D.S., P.L.L.C.

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	261QD0000X	Dental Clinic/Center	DEN1000360	DC

General Provider Information

NPI Number	:	1942584131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL P. JONES, D.D.S., P.L.L.C.

Provider Business Mailing Address
First Line	:	631 4TH ST SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2717
Country	:	US
Telephone Number	:	202-554-5011
Fax Number	:	202-449-8344

Provider Business Practice Location Address
First Line	:	631 4TH ST SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2717
Country	:	US
Telephone Number	:	202-554-5011
Fax Number	:	202-449-8344

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. LIGIA P JORIO
Credential	:
Telephone Number	:	202-554-5011

Provider Enumeration Date	:	10/05/2011
Last Update Date	:	10/05/2011

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