Provider Demographics
NPI:1750603007
Name:JONES, SHERMNAE DEMETRICE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERMNAE
Middle Name:DEMETRICE
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 1:3271 HIGHWAY 5 STE E
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2384
Mailing Address - Country:US
Mailing Address - Phone:678-487-5538
Mailing Address - Fax:
Practice Address - Street 1:3271 HIGHWAY 5 STE E
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2384
Practice Address - Country:US
Practice Address - Phone:678-487-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3752122300000X
NY0571121223G0001X
TNDS91021223G0001X
GADN0150861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist