Provider Demographics
NPI:1104966753
Name:JONES, BILLY JODY (DDS)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:JODY
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 1:15 MUSIC SQ W
Mailing Address - Street 2:SUITE A
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6200
Mailing Address - Country:US
Mailing Address - Phone:615-259-5100
Mailing Address - Fax:615-770-2876
Practice Address - Street 1:15 MUSIC SQ W
Practice Address - Street 2:SUITE A
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6200
Practice Address - Country:US
Practice Address - Phone:615-259-5100
Practice Address - Fax:615-770-2876
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0074941223G0001X
GADN0128741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice