Provider Demographics
NPI:1588940928
Name:DR. HAMILTON L JONES D.D.S., M.S.D
Entity type:Organization
Organization Name:DR. HAMILTON L JONES D.D.S., M.S.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-387-0823
Mailing Address - Street 1:1212 BENT OAKS CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8061
Mailing Address - Country:US
Mailing Address - Phone:940-387-0823
Mailing Address - Fax:940-381-0308
Practice Address - Street 1:1212 BENT OAKS CT
Practice Address - Street 2:SUITE 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8061
Practice Address - Country:US
Practice Address - Phone:940-387-0823
Practice Address - Fax:940-381-0308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090936801Medicaid