Provider Demographics
NPI:1043921141
Name:JONES, ALEXANDRIA IRENE (DDS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:IRENE
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 1:520 FAIRVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53185-2874
Mailing Address - Country:US
Mailing Address - Phone:414-243-6917
Mailing Address - Fax:
Practice Address - Street 1:8885 S 68TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8202
Practice Address - Country:US
Practice Address - Phone:414-427-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60010901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice