Provider Demographics
NPI:1407849276
Name:JONES, FLOYD SCOTT (RDH)
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:SCOTT
Last Name:JONES
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8012 RAINBOW CANYON RD
Mailing Address - Street 2:APT F
Mailing Address - City:29 PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-5582
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MARINE CORPS AIR GROUND COMBAT CENTER
Practice Address - Street 2:BOX 788280
Practice Address - City:29 PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278-8280
Practice Address - Country:US
Practice Address - Phone:760-830-7054
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7782124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist