Provider Demographics
NPI:1093811234
Name:ROBERT S. JONES DMD PC
Entity Type:Organization
Organization Name:ROBERT S. JONES DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SINCLAIR
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-277-5666
Mailing Address - Street 1:4130 CARMICHAEL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3670
Mailing Address - Country:US
Mailing Address - Phone:334-277-5666
Mailing Address - Fax:334-277-9947
Practice Address - Street 1:4130 CARMICHAEL RD
Practice Address - Street 2:SUITE A
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3670
Practice Address - Country:US
Practice Address - Phone:334-277-5666
Practice Address - Fax:334-277-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL37731223G0001X
AL44841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51093499OtherBLUE CROSS BLUE SHIELD AL
AL806960OtherUNITED CONCORDIA
AL51517847OtherBLUE CROSS BLUE SHIELD AL