Provider Demographics
NPI:1760401541
Name:JONES, GRIFFITH BARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GRIFFITH
Middle Name:BARRY
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 1:812 WINDRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-7917
Mailing Address - Country:US
Mailing Address - Phone:760-471-1243
Mailing Address - Fax:760-732-1398
Practice Address - Street 1:1235 W VISTA WAY
Practice Address - Street 2:SUITE A
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6234
Practice Address - Country:US
Practice Address - Phone:760-732-1114
Practice Address - Fax:760-732-1398
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA318091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice