Provider Demographics
NPI:1619317880
Name:JONES, DARRIN MICHAEL (DDS)
Entity Type:Individual
Prefix:
First Name:DARRIN
Middle Name:MICHAEL
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 1:401 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3205
Mailing Address - Country:US
Mailing Address - Phone:989-686-5410
Mailing Address - Fax:989-686-7340
Practice Address - Street 1:401 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3205
Practice Address - Country:US
Practice Address - Phone:989-686-5410
Practice Address - Fax:989-686-7340
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010210001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice