Provider Demographics
NPI:1164848628
Name:MCHONE, JORDAN BLAKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:BLAKE
Last Name:MCHONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6055 ELDORADO PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3676
Mailing Address - Country:US
Mailing Address - Phone:817-864-8999
Mailing Address - Fax:
Practice Address - Street 1:6055 ELDORADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3676
Practice Address - Country:US
Practice Address - Phone:817-864-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice