Provider Demographics
NPI:1245786458
Name:JONES, KOFFORD, & SMITH DDS II,PLLC
Entity Type:Organization
Organization Name:JONES, KOFFORD, & SMITH DDS II,PLLC
Other - Org Name:ROYAL OAK DENTAL CHAPEL HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-720-2945
Mailing Address - Street 1:1525 E FRANKLIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2811
Mailing Address - Country:US
Mailing Address - Phone:919-968-6211
Mailing Address - Fax:
Practice Address - Street 1:1525 E FRANKLIN ST SUITE 2, CHAPEL HILL, NC 27514
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-968-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty