Jones, Justin L
Jones, Justin L is an sole proprietor health care provider with primary practice located at 150 Ne Kenneth Ford Dr , Roseburg OR 97470-1042. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Jones, Justin L can be contacted via phone (541) 672-9596.Contact Information
Primary practice address
150 Ne Kenneth Ford Dr
Roseburg OR 97470-1042
Phone: (541) 672-9596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5901 | Oklahoma |
| Dental Providers / Dentist | 122300000X | 26305 | Texas |
| Dental Providers / Dental Public Health | 1223D0001X | D11436 | Oregon |
Profile Details
| NPI number | 1013083427 |
|---|---|
| LBN Legal business name | Jones, Justin L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | May 10th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013083427 | NPPES |
| Oklahoma | MEDICAID | 200089560A |
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