Provider Demographics
NPI:1629325691
Name:MELISSA S. JONES DDS LTD
Entity Type:Organization
Organization Name:MELISSA S. JONES DDS LTD
Other - Org Name:CARSON CITY ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-434-0494
Mailing Address - Street 1:3790 US HIGHWAY 395 S STE 406
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-5809
Mailing Address - Country:US
Mailing Address - Phone:775-434-0494
Mailing Address - Fax:775-200-9333
Practice Address - Street 1:3790 US HIGHWAY 395 S STE 406
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89705-5809
Practice Address - Country:US
Practice Address - Phone:775-434-0494
Practice Address - Fax:775-200-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS31691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty