Provider Demographics
NPI:1487636759
Name:JONES, HARPER LLEWELLYN II (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARPER
Middle Name:LLEWELLYN
Last Name:JONES
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S MAIN ST
Mailing Address - Street 2:SUITE1
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2257
Mailing Address - Country:US
Mailing Address - Phone:541-276-4867
Mailing Address - Fax:541-276-8224
Practice Address - Street 1:116 S MAIN ST
Practice Address - Street 2:SUITE1
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2257
Practice Address - Country:US
Practice Address - Phone:541-276-4867
Practice Address - Fax:541-276-8224
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORORD65521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice