Provider Demographics
NPI:1811916323
Name:JONES, HERSCHEL LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:HERSCHEL
Middle Name:LEE
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 1:238 POTOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-3459
Mailing Address - Country:US
Mailing Address - Phone:703-551-0234
Mailing Address - Fax:703-630-2526
Practice Address - Street 1:238 POTOMAC AVE
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-3459
Practice Address - Country:US
Practice Address - Phone:703-551-0234
Practice Address - Fax:703-630-2526
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry