Provider Demographics
NPI:1881855112
Name:JONES, DAGON HURRICANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAGON
Middle Name:HURRICANE
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 5TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-7760
Mailing Address - Country:US
Mailing Address - Phone:530-756-5300
Mailing Address - Fax:
Practice Address - Street 1:2800 5TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-7760
Practice Address - Country:US
Practice Address - Phone:530-756-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist