Individual provider Active NPI

Alan Max Jones, DMD

  • Dentist
  • Lagrange, GA
National Provider Identifier
1003369125
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015179 Issued in GA
Practice address
518 Lower Glass Bridge Rd
Lagrange, GA 30240-8697
Phone
(706) 882-2551
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015179 GA Primary

Addresses

Primary practice location

518 Lower Glass Bridge Rd
Lagrange, GA 30240-8697

Mailing address

210 N Lewis St
Lagrange, GA 30240-2738
Phone (706) 882-2551

Other names 1

  • Dr. Alan Max Jones Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN015179GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crested Oak Dentistry PLLC CurrentSince Jul 24, 2022 Accepting new patients
Crested Oak Dentistry PastSince Jul 24, 2022 Accepting new patients

Locations

102 Main St
Ste 100
Delta, CO 81416
Phone (970) 874-3855

2532 Patterson Rd
Ste 1
Grand Junction, CO 81505
Phone (970) 241-4800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1003369125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402738",
            "telephone_number": "706-882-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LOWER GLASS BRIDGE RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408697",
            "telephone_number": "706-882-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALAN",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "JONES",
            "middle_name": "MAX",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.