Provider Demographics
NPI:1386705044
Name:JONES, PERRIN L JR (DDS)
Entity type:Individual
Prefix:DR
First Name:PERRIN
Middle Name:L
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 W POPLAR AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2513
Mailing Address - Country:US
Mailing Address - Phone:901-853-4200
Mailing Address - Fax:
Practice Address - Street 1:875 W POPLAR AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2513
Practice Address - Country:US
Practice Address - Phone:901-853-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS69441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice