Provider Demographics
NPI:1992111249
Name:JONES, VICTORIA (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 GAINSBOROUGH DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-2717
Mailing Address - Country:US
Mailing Address - Phone:850-765-3040
Mailing Address - Fax:850-765-3124
Practice Address - Street 1:1970 GAINSBOROUGH DR
Practice Address - Street 2:SUITE 2
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-2717
Practice Address - Country:US
Practice Address - Phone:850-765-3040
Practice Address - Fax:850-765-3124
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20770122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist