Provider Demographics
NPI:1326144619
Name:JONES, BRANDT D (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDT
Middle Name:D
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 1:3 OAKWOOD PARK PLZ
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1887
Mailing Address - Country:US
Mailing Address - Phone:303-688-3860
Mailing Address - Fax:303-688-6921
Practice Address - Street 1:3 OAKWOOD PARK PLZ
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1887
Practice Address - Country:US
Practice Address - Phone:303-688-3860
Practice Address - Fax:303-688-6921
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice