Provider Demographics
NPI:1790091577
Name:JONES, RICHARD TORRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:TORRENCE
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 1:3271 DUTCH MILL CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2127
Mailing Address - Country:US
Mailing Address - Phone:434-250-5143
Mailing Address - Fax:
Practice Address - Street 1:1950 ROLAND CLARKE PL
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1414
Practice Address - Country:US
Practice Address - Phone:703-391-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412833122300000X
OH30-023391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist