Provider Demographics
NPI:1841288974
Name:JONES-CRALL, CAROL J (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:J
Last Name:JONES-CRALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:707 MINNESOTA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2516
Mailing Address - Country:US
Mailing Address - Phone:913-321-4385
Mailing Address - Fax:913-321-4037
Practice Address - Street 1:707 MINNESOTA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2516
Practice Address - Country:US
Practice Address - Phone:913-321-4385
Practice Address - Fax:913-321-4037
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS603371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS9178821Medicaid