Provider Demographics
NPI:1598899551
Name:JONES, GEOFFREY GEORGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:GEORGE
Last Name:JONES
Suffix:
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 1:706 AQUIDNECK AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-5692
Mailing Address - Country:US
Mailing Address - Phone:401-847-1115
Mailing Address - Fax:401-848-7470
Practice Address - Street 1:706 AQUIDNECK AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5692
Practice Address - Country:US
Practice Address - Phone:401-847-1115
Practice Address - Fax:401-848-7470
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI18261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice