Provider Demographics
NPI:1366588238
Name:JONES, RICK ALLEN (DMD)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALLEN
Last Name:JONES
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 1:2300 YORK ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:410-560-6855
Mailing Address - Fax:410-560-7901
Practice Address - Street 1:2300 YORK ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-560-6855
Practice Address - Fax:410-560-7901
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9184122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist