Provider Demographics
NPI:1396823050
Name:JONES, JEFFERY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:W
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 1:831 LANDA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6100
Mailing Address - Country:US
Mailing Address - Phone:830-629-7494
Mailing Address - Fax:830-629-3767
Practice Address - Street 1:831 LANDA ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6100
Practice Address - Country:US
Practice Address - Phone:830-629-7494
Practice Address - Fax:830-629-3767
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice