David Max Jones, D.D.S.

Individual provider Active NPI General Practice Dentistry · Keesler Afb, MS

NPI 1013083005 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1013083005
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
18129 (TX)
Practice address
301 Fisher St
Keesler Afb, MS 39534
Phone
(228) 376-0512
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18129TXMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18129 TX
General Practice Dentistry 1223G0001X 18129 TX Yes

Addresses

Primary practice location

301 Fisher St
Keesler Afb, MS 39534

Mailing address

301 Fisher St
Keesler Afb, MS 39534
Phone (228) 376-0512

Other providers in Keesler Afb, MS

All providers in Keesler Afb, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.