Provider Demographics
NPI:1346448586
Name:JONES, GARRIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRIK
Middle Name:
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 1:1041 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6604
Mailing Address - Country:US
Mailing Address - Phone:319-338-9219
Mailing Address - Fax:319-338-7265
Practice Address - Street 1:1041 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6604
Practice Address - Country:US
Practice Address - Phone:319-338-9219
Practice Address - Fax:319-338-7265
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice