Provider Demographics
NPI:1023200276
Name:NEAL, HAROLD JONES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JONES
Last Name:NEAL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 BELFIELD DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1218
Mailing Address - Country:US
Mailing Address - Phone:434-634-9466
Mailing Address - Fax:434-634-0646
Practice Address - Street 1:508 BELFIELD DR
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1218
Practice Address - Country:US
Practice Address - Phone:434-634-9466
Practice Address - Fax:434-634-0646
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist