Provider Demographics
NPI:1073928560
Name:JONES, ARTHUR ALVIN IV (DMD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ALVIN
Last Name:JONES
Suffix:IV
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 1:1015 BROCKS GAP PKWY
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4032
Mailing Address - Country:US
Mailing Address - Phone:205-982-0112
Mailing Address - Fax:
Practice Address - Street 1:1015 BROCKS GAP PKWY
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4032
Practice Address - Country:US
Practice Address - Phone:205-982-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL61541223X0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics