Provider Demographics
NPI:1710054176
Name:JONES, THOMAS STRATTON III (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STRATTON
Last Name:JONES
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2170 CLEARBROOK RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1595
Mailing Address - Country:US
Mailing Address - Phone:205-823-9363
Mailing Address - Fax:205-823-9310
Practice Address - Street 1:2170 CLEARBROOK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-1595
Practice Address - Country:US
Practice Address - Phone:205-823-9363
Practice Address - Fax:205-823-9310
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL32571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice