Provider Demographics
NPI:1790197838
Name:JONES, MELINDA SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:SUE
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 S HIGHWAY 183 STE 206
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2211
Mailing Address - Country:US
Mailing Address - Phone:512-259-5000
Mailing Address - Fax:512-259-5001
Practice Address - Street 1:1907 S HIGHWAY 183 STE 206
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2211
Practice Address - Country:US
Practice Address - Phone:512-259-5000
Practice Address - Fax:512-259-5001
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX16199122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist