Provider Demographics
NPI:1346312303
Name:JONES, DUANE LLOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:LLOYD
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 1:1706 S 320TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5424
Mailing Address - Country:US
Mailing Address - Phone:253-941-8000
Mailing Address - Fax:253-941-2420
Practice Address - Street 1:1706 S 320TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5424
Practice Address - Country:US
Practice Address - Phone:253-941-8000
Practice Address - Fax:253-941-2420
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA65221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice