Provider Demographics
NPI:1689743411
Name:JONES, FRANK DANIELS (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:DANIELS
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 1:90 WHITEWOOD RD
Mailing Address - Street 2:STE 3
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1668
Mailing Address - Country:US
Mailing Address - Phone:434-973-7695
Mailing Address - Fax:434-973-3109
Practice Address - Street 1:90 WHITEWOOD RD
Practice Address - Street 2:STE 3
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1668
Practice Address - Country:US
Practice Address - Phone:434-973-7695
Practice Address - Fax:434-973-3109
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010054441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00475296OtherUNITED CONCORDIA
VA004560OtherANTHEM