Provider Demographics
NPI:1043665540
Name:JONES, WARREN IAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:IAN
Last Name:JONES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5131
Mailing Address - Country:US
Mailing Address - Phone:954-956-9500
Mailing Address - Fax:954-956-9049
Practice Address - Street 1:5847 EAGLE CAY TER
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2613
Practice Address - Country:US
Practice Address - Phone:754-235-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist