Provider Demographics
NPI:1861508764
Name:JONES, JULIUS ROBERT SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:ROBERT
Last Name:JONES
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JULIUS
Other - Middle Name:R
Other - Last Name:JONES
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5563 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019
Mailing Address - Country:US
Mailing Address - Phone:323-938-4136
Mailing Address - Fax:323-938-1721
Practice Address - Street 1:5563 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019
Practice Address - Country:US
Practice Address - Phone:323-938-4136
Practice Address - Fax:323-938-1721
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA169301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice