Provider Demographics
NPI:1235322124
Name:JONES, PERRY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:E
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 1:2803 MCRAE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3000
Mailing Address - Country:US
Mailing Address - Phone:804-320-2496
Mailing Address - Fax:804-320-2508
Practice Address - Street 1:2803 MCRAE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-3000
Practice Address - Country:US
Practice Address - Phone:804-320-2496
Practice Address - Fax:804-320-2508
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010046531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice