Provider Demographics
NPI:1285180133
Name:JONES, REBECCA LYNNE (RDH)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNNE
Last Name:JONES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LYNNE
Other - Last Name:NAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:300 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FT GREGGADAMS
Mailing Address - State:VA
Mailing Address - Zip Code:23801-1526
Mailing Address - Country:US
Mailing Address - Phone:804-734-5454
Mailing Address - Fax:
Practice Address - Street 1:300 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FT GREGGADAMS
Practice Address - State:VA
Practice Address - Zip Code:23801-1526
Practice Address - Country:US
Practice Address - Phone:804-734-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADHA001477124Q00000X
PADH070230124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist