Provider Demographics
NPI:1700095171
Name:JONES, EDITH KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:KATHRYN
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 1:1590 MEDICAL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3247
Mailing Address - Country:US
Mailing Address - Phone:610-323-1004
Mailing Address - Fax:
Practice Address - Street 1:1590 MEDICAL DR
Practice Address - Street 2:SUITE C
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3247
Practice Address - Country:US
Practice Address - Phone:610-323-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020759L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry