Provider Demographics
NPI:1659778546
Name:JONES, WILL THOMAS (DDS, PLLC)
Entity Type:Individual
Prefix:DR
First Name:WILL
Middle Name:THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 NOLENSVILLE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8864
Mailing Address - Country:US
Mailing Address - Phone:615-941-3368
Mailing Address - Fax:615-941-3370
Practice Address - Street 1:7024 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-1649
Practice Address - Country:US
Practice Address - Phone:615-941-3368
Practice Address - Fax:615-941-3370
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL61531223G0001X
TN9860122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7593100001Medicare NSC