Provider Demographics
NPI:1043214893
Name:JONES, WILLIAM STEPHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:JONES
Suffix:
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 1:121 SUBURBAN RD
Mailing Address - Street 2:BLDG A
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5587
Mailing Address - Country:US
Mailing Address - Phone:865-690-8890
Mailing Address - Fax:865-694-8994
Practice Address - Street 1:121 SUBURBAN RD
Practice Address - Street 2:BLDG A
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5587
Practice Address - Country:US
Practice Address - Phone:865-690-8890
Practice Address - Fax:865-694-8994
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS3199TN1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2009899OtherBLUE CROSS BLUE SHEILD
TN0009636OtherDORAL DENTAL
TN467688OtherUNITED CONCORDIA