Provider Demographics
NPI:1477843936
Name:JONES, KELLY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1042 PLUMMER CIR SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-2036
Mailing Address - Country:US
Mailing Address - Phone:608-206-1233
Mailing Address - Fax:507-252-1445
Practice Address - Street 1:1705 BROADWAY AVE S STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-7960
Practice Address - Country:US
Practice Address - Phone:507-288-0102
Practice Address - Fax:507-252-1445
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI6800-151223P0221X
MND131201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry