Provider Demographics
NPI:1265879035
Name:JONES, WILLIAM HARRISON (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HARRISON
Last Name:JONES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 CASTLEWOODS CT
Mailing Address - Street 2:SUITE D
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-7316
Mailing Address - Country:US
Mailing Address - Phone:601-992-8357
Mailing Address - Fax:
Practice Address - Street 1:5403 CASTLEWOODS CT
Practice Address - Street 2:SUITE D
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7316
Practice Address - Country:US
Practice Address - Phone:601-992-8357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3695-131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice