Provider Demographics
NPI:1710242813
Name:JONES, DANA CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:CHRISTOPHER
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 1:162 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3234
Mailing Address - Country:US
Mailing Address - Phone:203-438-8919
Mailing Address - Fax:203-438-8481
Practice Address - Street 1:162 DANBURY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-3234
Practice Address - Country:US
Practice Address - Phone:203-438-8919
Practice Address - Fax:203-438-8481
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist