Provider Demographics
NPI:1750615027
Name:JONES, CHRISTOPHER JAMES (DMD, MS, FACP)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:JONES
Suffix:
Gender:M
Credentials:DMD, MS, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 W GLADE CREEK ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646
Mailing Address - Country:US
Mailing Address - Phone:208-861-8496
Mailing Address - Fax:
Practice Address - Street 1:BOISE PROSTHODONTICS
Practice Address - Street 2:1803 S TOPAZ WAY STE 120
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642
Practice Address - Country:US
Practice Address - Phone:208-376-0567
Practice Address - Fax:208-376-0661
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-19
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-42431223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics