Provider Demographics
NPI:1689031783
Name:M. THOMAS JONES DMD, PA
Entity Type:Organization
Organization Name:M. THOMAS JONES DMD, PA
Other - Org Name:ADAMS FARM FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PRESIDENT & PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:336-294-0722
Mailing Address - Street 1:5710 W GATE CITY BLVD STE R
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-7047
Mailing Address - Country:US
Mailing Address - Phone:336-294-0722
Mailing Address - Fax:336-294-0735
Practice Address - Street 1:5710 W GATE CITY BLVD STE R
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7047
Practice Address - Country:US
Practice Address - Phone:336-294-0722
Practice Address - Fax:336-294-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty