Provider Demographics
NPI:1386687911
Name:JONES, TRENTON COX (MD)
Entity Type:Individual
Prefix:MR
First Name:TRENTON
Middle Name:COX
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 E. 800 N.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4437
Mailing Address - Country:US
Mailing Address - Phone:801-418-8172
Mailing Address - Fax:801-404-5781
Practice Address - Street 1:1375 E. 800 N.
Practice Address - Street 2:SUITE 205
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4437
Practice Address - Country:US
Practice Address - Phone:801-418-8172
Practice Address - Fax:801-404-5781
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5145157-1205208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
005712501Medicare ID - Type Unspecified
UTG99609Medicare UPIN