Provider Demographics
NPI:1407471444
Name:JONES, CAITLIN SCHAEFER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:SCHAEFER
Last Name:JONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:PAIGE
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2542
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2542
Mailing Address - Country:US
Mailing Address - Phone:256-237-2851
Mailing Address - Fax:
Practice Address - Street 1:1127 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4610
Practice Address - Country:US
Practice Address - Phone:256-237-2851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.6773-C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice