Provider Demographics
NPI:1467234922
Name:JONES, PATRICK SHANNON (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:SHANNON
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 1:2556 NEWARK CT UNIT 4213
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1488
Mailing Address - Country:US
Mailing Address - Phone:719-641-1356
Mailing Address - Fax:
Practice Address - Street 1:9579 S UNIVERSITY BLVD UNIT 400A
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-8122
Practice Address - Country:US
Practice Address - Phone:303-683-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205790122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist