Provider Demographics
NPI:1164437927
Name:CHRISTOPHER MARC JONES DMD PC
Entity Type:Organization
Organization Name:CHRISTOPHER MARC JONES DMD PC
Other - Org Name:COLORADO CHILDREN'S DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:828-421-7766
Mailing Address - Street 1:9256 S. JORDAN ROAD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:303-627-8300
Mailing Address - Fax:303-627-8333
Practice Address - Street 1:9256 S. JORDAN ROAD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:303-627-8300
Practice Address - Fax:303-627-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO048151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02048155Medicaid
CO0010014OtherFORTIS
CO573669OtherUNITED CONCORDIA
CO23627OtherDHA
CO762-33341Medicaid
CO141676OtherCIGNA DH
CO1B0J7VOtherBCBS