Provider Demographics
NPI:1316033160
Name:JONES, RYAN LOREN (DDS)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:LOREN
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 1:7116 STINSON AVE.
Mailing Address - Street 2:SUITE B315
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:253-858-3457
Mailing Address - Fax:253-853-4265
Practice Address - Street 1:7116 STINSON AVE.
Practice Address - Street 2:SUITE B315
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-858-3457
Practice Address - Fax:253-853-4265
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA103571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice