Provider Demographics
NPI:1215072582
Name:JONES, JAMES BRANDON JR (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRANDON
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:J
Other - Middle Name:BRANDON
Other - Last Name:JONES
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DDS, PA
Mailing Address - Street 1:2662 E JOYCE BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4434
Mailing Address - Country:US
Mailing Address - Phone:479-521-3107
Mailing Address - Fax:479-521-4958
Practice Address - Street 1:2662 E JOYCE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4434
Practice Address - Country:US
Practice Address - Phone:479-521-3107
Practice Address - Fax:479-521-4958
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice