Provider Demographics
NPI:1205045333
Name:JONES, ROBIN ELAINE (DDS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ELAINE
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 S STEELE ST STE 220
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-7334
Mailing Address - Country:US
Mailing Address - Phone:253-476-0556
Mailing Address - Fax:253-476-8903
Practice Address - Street 1:4218 S STEELE ST STE 220
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7334
Practice Address - Country:US
Practice Address - Phone:253-476-0556
Practice Address - Fax:253-476-8903
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA073741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice