Provider Demographics
NPI:1174645188
Name:JONES, JOHN HENLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HENLEY
Last Name:JONES
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 1:135 E GHOLSON AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-3017
Mailing Address - Country:US
Mailing Address - Phone:662-252-5817
Mailing Address - Fax:662-252-6990
Practice Address - Street 1:135 E GHOLSON AVE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-3017
Practice Address - Country:US
Practice Address - Phone:662-252-5817
Practice Address - Fax:662-252-6990
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1804-781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice