Jeffery B Jones, DDD

Individual provider Active NPI General Practice Dentistry · Woodside, CA

NPI 1336268671 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336268671
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
36773 (CA)
Practice address
2977 Woodside Rd
Woodside, CA 94062-2443
Phone
(650) 851-0831
Fax
(650) 851-0871
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery B Jones a Professional Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36773 CA Yes

Addresses

Primary practice location

2977 Woodside Rd
Woodside, CA 94062-2443

Mailing address

2977 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 851-0831

Other providers in Woodside, CA

All providers in Woodside, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.