Provider Demographics
NPI:1962787739
Name:JONES, MEGAN D (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SW BARON ST
Mailing Address - Street 2:SUITE E20
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126
Mailing Address - Country:US
Mailing Address - Phone:206-923-3684
Mailing Address - Fax:
Practice Address - Street 1:2600 SW BARTON ST
Practice Address - Street 2:STE E20
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3948
Practice Address - Country:US
Practice Address - Phone:206-923-3684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE602393421223G0001X
ORD95591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice