Provider Demographics
NPI:1336590314
Name:JONES, ELLE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELLE
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 N 91ST PLZ
Mailing Address - Street 2:APT. 412
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-6600
Mailing Address - Country:US
Mailing Address - Phone:402-515-1881
Mailing Address - Fax:
Practice Address - Street 1:5006 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2920
Practice Address - Country:US
Practice Address - Phone:402-554-1333
Practice Address - Fax:402-554-1336
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE73271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice