Provider Demographics
NPI:1386733962
Name:JONES, LOUIS ANDREW JR (DDS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ANDREW
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 1:103 CHAMPION CIR
Mailing Address - Street 2:
Mailing Address - City:WATER VALLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38965-2821
Mailing Address - Country:US
Mailing Address - Phone:662-473-3625
Mailing Address - Fax:662-647-3559
Practice Address - Street 1:203 S MARKET ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:MS
Practice Address - Zip Code:38921-2236
Practice Address - Country:US
Practice Address - Phone:662-647-8442
Practice Address - Fax:662-647-3559
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1692-75122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist