Provider Demographics
NPI:1720219835
Name:JONES, TOMEKA LASHON (DENTAL HYGIENE)
Entity Type:Individual
Prefix:MRS
First Name:TOMEKA
Middle Name:LASHON
Last Name:JONES
Suffix:
Gender:F
Credentials:DENTAL HYGIENE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 FIRST STREET
Mailing Address - Street 2:49TH MEDICAL GROUP
Mailing Address - City:HOLLOMAN AFB
Mailing Address - State:NM
Mailing Address - Zip Code:88330-8035
Mailing Address - Country:US
Mailing Address - Phone:575-572-8273
Mailing Address - Fax:575-572-7634
Practice Address - Street 1:28 FIRST STREET
Practice Address - Street 2:49TH MEDICAL GROUP
Practice Address - City:HOLLOMAN AFB
Practice Address - State:NM
Practice Address - Zip Code:88330-8035
Practice Address - Country:US
Practice Address - Phone:575-572-8273
Practice Address - Fax:575-572-7634
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH 20941124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist