Provider Demographics
NPI:1093175531
Name:KATHARINE JONES DDS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:KATHARINE JONES DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-595-0913
Mailing Address - Street 1:2100 CARLMONT DR STE 1
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3465
Mailing Address - Country:US
Mailing Address - Phone:650-595-0913
Mailing Address - Fax:
Practice Address - Street 1:2100 CARLMONT DR STE 1
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3465
Practice Address - Country:US
Practice Address - Phone:650-595-0913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty