Provider Demographics
NPI:1578867636
Name:JONES, M CAROLINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:M
Middle Name:CAROLINE
Last Name:JONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 MCNEIL DR
Mailing Address - Street 2:APT 127
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-8541
Mailing Address - Country:US
Mailing Address - Phone:512-820-6146
Mailing Address - Fax:
Practice Address - Street 1:11615 ANGUS RD
Practice Address - Street 2:SUITE 116
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4078
Practice Address - Country:US
Practice Address - Phone:512-920-2305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX263421223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice