Provider Demographics
NPI:1205997632
Name:DEAN JONES HEARING AIDS, INC.
Entity type:Organization
Organization Name:DEAN JONES HEARING AIDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:573-635-3557
Mailing Address - Street 1:1431 SOUTHWEST BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-2468
Mailing Address - Country:US
Mailing Address - Phone:573-635-3557
Mailing Address - Fax:573-635-6048
Practice Address - Street 1:1431 SOUTHWEST BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-2468
Practice Address - Country:US
Practice Address - Phone:573-635-3557
Practice Address - Fax:573-635-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO11164786332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7982OtherHEALTHCARE USA
MO516369OtherHEALTHLINK
MO45-02000OtherUNITED HEALTHCARE
MO7982OtherHEALTHCARE USA