Provider Demographics
NPI:1013026756
Name:JONES, ANITA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:L
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 1:222 MILLIKEN BLVD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721
Mailing Address - Country:US
Mailing Address - Phone:508-672-6381
Mailing Address - Fax:508-678-2424
Practice Address - Street 1:222 MILLIKEN BLVD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721
Practice Address - Country:US
Practice Address - Phone:508-672-6381
Practice Address - Fax:508-678-2424
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2011-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA167031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
909617OtherUNITED CONCORDIA
MAX06416OtherBLUE CROSS BLUE SHIELD
MA000000025875OtherBOSTON MEDICAL CENTER HEA
MA16179OtherHARVARD PILGRIMI HEALTH C
407514OtherTUFTS HEALTH PLAN
909617OtherUNITED CONCORDIA
MAX06416OtherBLUE CROSS BLUE SHIELD