Provider Demographics
NPI:1407851652
Name:JONES, JARROD E
Entity Type:Individual
Prefix:DR
First Name:JARROD
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CODY AVE
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2430
Mailing Address - Country:US
Mailing Address - Phone:785-625-7369
Mailing Address - Fax:785-625-7667
Practice Address - Street 1:1001 CODY AVE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2430
Practice Address - Country:US
Practice Address - Phone:785-625-7369
Practice Address - Fax:785-625-7667
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS602041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice