Provider Demographics
NPI:1801005301
Name:BONE, JENNIFER JINKINS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JINKINS
Last Name:BONE
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 1:715 HILL COUNTRY DR
Mailing Address - Street 2:STE. 6
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5965
Mailing Address - Country:US
Mailing Address - Phone:830-257-7444
Mailing Address - Fax:
Practice Address - Street 1:715 HILL COUNTRY DR
Practice Address - Street 2:STE. 6
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5965
Practice Address - Country:US
Practice Address - Phone:830-257-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice