Provider Demographics
NPI:1780360842
Name:JONES, ERIKA SKYE (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:SKYE
Last Name:JONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:SKYE
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 BRIARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-3725
Mailing Address - Country:US
Mailing Address - Phone:510-316-6339
Mailing Address - Fax:
Practice Address - Street 1:154 ELM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4759
Practice Address - Country:US
Practice Address - Phone:603-673-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04839122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist