Provider Demographics
NPI:1568516805
Name:JONES, JAMES SCOTT (DDS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
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 1:6400 COBBS DRIVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2597
Mailing Address - Country:US
Mailing Address - Phone:254-776-6350
Mailing Address - Fax:254-776-7331
Practice Address - Street 1:6400 COBBS DRIVE
Practice Address - Street 2:SUITE 600
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2597
Practice Address - Country:US
Practice Address - Phone:254-776-6350
Practice Address - Fax:254-776-7331
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107131223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics