Provider Demographics
NPI:1821101494
Name:JONES, JOE E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:E
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2019 GALISTEO ST STE O1
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2107
Mailing Address - Country:US
Mailing Address - Phone:505-995-0595
Mailing Address - Fax:505-995-0388
Practice Address - Street 1:2019 GALISTEO ST STE O1
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2107
Practice Address - Country:US
Practice Address - Phone:505-995-0595
Practice Address - Fax:505-995-0388
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD41761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice