Provider Demographics
NPI:1780746701
Name:JONES, TIMOTHY J (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 L ST
Mailing Address - Street 2:P O BOX 40
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-2016
Mailing Address - Country:US
Mailing Address - Phone:402-694-6154
Mailing Address - Fax:402-694-6155
Practice Address - Street 1:1226 L ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-2016
Practice Address - Country:US
Practice Address - Phone:402-694-6154
Practice Address - Fax:402-694-6155
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE63621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice