Provider Demographics
NPI:1194071175
Name:ALL, CREIGHTON JONES (DMD)
Entity type:Individual
Prefix:DR
First Name:CREIGHTON
Middle Name:JONES
Last Name:ALL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6286
Mailing Address - Country:US
Mailing Address - Phone:843-735-6727
Mailing Address - Fax:843-735-6717
Practice Address - Street 1:2020 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6286
Practice Address - Country:US
Practice Address - Phone:843-735-6727
Practice Address - Fax:843-735-6717
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC80831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice