Provider Demographics
NPI:1790764546
Name:JONES, GEORGE S III (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:JONES
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6667
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-0667
Mailing Address - Country:US
Mailing Address - Phone:910-575-6300
Mailing Address - Fax:910-575-6311
Practice Address - Street 1:688 SUNSET BLVD NORTH
Practice Address - Street 2:
Practice Address - City:SUNSET BEACH
Practice Address - State:NC
Practice Address - Zip Code:28468-4336
Practice Address - Country:US
Practice Address - Phone:910-575-6300
Practice Address - Fax:910-575-6311
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76181223G0001X
SC39681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice