Provider Demographics
NPI:1154026813
Name:JONES, DENNIS
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 NAUTICA LN
Mailing Address - Street 2:
Mailing Address - City:ORRUM
Mailing Address - State:NC
Mailing Address - Zip Code:28369-9755
Mailing Address - Country:US
Mailing Address - Phone:910-225-9721
Mailing Address - Fax:
Practice Address - Street 1:181 NAUTICA LN
Practice Address - Street 2:
Practice Address - City:ORRUM
Practice Address - State:NC
Practice Address - Zip Code:28369-9755
Practice Address - Country:US
Practice Address - Phone:910-225-9721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)