Provider Demographics
NPI:1932471869
Name:JOHN JONES, DDS
Entity type:Organization
Organization Name:JOHN JONES, DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-421-0893
Mailing Address - Street 1:20 PIDGEON HILL DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6154
Mailing Address - Country:US
Mailing Address - Phone:703-421-0893
Mailing Address - Fax:703-421-0897
Practice Address - Street 1:20 PIDGEON HILL DR
Practice Address - Street 2:SUITE 206
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6154
Practice Address - Country:US
Practice Address - Phone:703-421-0893
Practice Address - Fax:703-421-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010051881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty