Provider Demographics
NPI:1003036591
Name:JONES, JEFFREY CRAIG (D DS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CRAIG
Last Name:JONES
Suffix:
Gender:M
Credentials:D DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 LINCOLN WAY
Mailing Address - Street 2:#E
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5051
Mailing Address - Country:US
Mailing Address - Phone:530-823-5141
Mailing Address - Fax:530-823-5141
Practice Address - Street 1:1300 LINCOLN WAY
Practice Address - Street 2:#E
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5051
Practice Address - Country:US
Practice Address - Phone:530-823-5141
Practice Address - Fax:530-823-5141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADU0299781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice