Provider Demographics
NPI:1962507343
Name:JONES, THOMAS R
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:R
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 NOLENSVILLE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8864
Mailing Address - Country:US
Mailing Address - Phone:615-941-3368
Mailing Address - Fax:615-941-3370
Practice Address - Street 1:6716 NOLENSVILLE RD STE 120
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8864
Practice Address - Country:US
Practice Address - Phone:615-941-3368
Practice Address - Fax:615-941-3370
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS3381122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist