Provider Demographics
NPI:1508271347
Name:JONES, ROBERT PRESTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PRESTON
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 1:3603 DORAL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2919
Mailing Address - Country:US
Mailing Address - Phone:501-225-0228
Mailing Address - Fax:501-225-0228
Practice Address - Street 1:3603 DORAL DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2919
Practice Address - Country:US
Practice Address - Phone:501-225-0228
Practice Address - Fax:501-225-0228
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR19821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice