Provider Demographics
NPI:1922665207
Name:JONES, KRISTIN ALLISON (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ALLISON
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:NICOLE
Other - Last Name:ALLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 1490
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-1490
Mailing Address - Country:US
Mailing Address - Phone:828-262-3886
Mailing Address - Fax:828-265-4816
Practice Address - Street 1:504 PINEOLA ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-7604
Practice Address - Country:US
Practice Address - Phone:828-742-1018
Practice Address - Fax:828-742-1024
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113571223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice