Provider Demographics
NPI:1780440842
Name:JONES, DANA BURRILL (RDH)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:BURRILL
Last Name:JONES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1720
Mailing Address - Country:US
Mailing Address - Phone:410-598-1134
Mailing Address - Fax:
Practice Address - Street 1:7801 YORK RD STE 218
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7448
Practice Address - Country:US
Practice Address - Phone:410-583-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5610124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist