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NPI Code Detail

MEDICARE: DR. JEFF JONES D.D.S.

MEDICARE:  DR. JEFF  JONES  D.D.S.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)5001468015WI

General Provider Information

NPI Number : 1952473712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFF JONES D.D.S.
Provider Business Mailing Address
First Line : 1120 OAK RIDGE DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6133
Country : US
Telephone Number : 715-834-8414
Fax Number :
Provider Business Practice Location Address
First Line : 1120 OAK RIDGE DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6133
Country : US
Telephone Number : 715-834-8414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 12/07/2007

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Directions to “ DR. JEFF JONES D.D.S.” Practice Location

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