Provider Demographics
NPI:1336311430
Name:JONES, ROBERT HOUSTON (DDSPC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOUSTON
Last Name:JONES
Suffix:
Gender:M
Credentials:DDSPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-3704
Mailing Address - Country:US
Mailing Address - Phone:931-473-6200
Mailing Address - Fax:931-506-2377
Practice Address - Street 1:1200 S CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-3704
Practice Address - Country:US
Practice Address - Phone:931-473-6200
Practice Address - Fax:931-506-2377
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12059397331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics