Provider Demographics
NPI:1639341118
Name:JONES, PERKINS II (DDS)
Entity Type:Individual
Prefix:
First Name:PERKINS
Middle Name:
Last Name:JONES
Suffix:II
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 1:5734 N. WINTHROP #502
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-2501
Mailing Address - Country:US
Mailing Address - Phone:773-291-2100
Mailing Address - Fax:
Practice Address - Street 1:5734 N WINTHROP AVE APT 502
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-4319
Practice Address - Country:US
Practice Address - Phone:773-291-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190193561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice