Provider Demographics
NPI:1912027053
Name:JONES, CHRISTINE C (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:C
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:CHRISTINE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 516
Mailing Address - Street 2:
Mailing Address - City:LEADVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80461-0516
Mailing Address - Country:US
Mailing Address - Phone:719-486-0053
Mailing Address - Fax:
Practice Address - Street 1:529 W 10TH ST
Practice Address - Street 2:
Practice Address - City:LEADVILLE
Practice Address - State:CO
Practice Address - Zip Code:80461-3396
Practice Address - Country:US
Practice Address - Phone:719-486-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7599122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist