Jones, Andrew Thomas

Jones, Andrew Thomas is an individual health care provider with primary practice located at 5219 St John Drive , Nett Lake MN 55772-8232. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jones, Andrew Thomas can be contacted via phone (218) 757-3295.

Contact Information

Primary practice address
5219 St John Drive Nett Lake MN 55772-8232
Fax: (218) 757-0234
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11679 Minnesota

Profile Details

NPI number 1487629002
LBN Legal business name Jones, Andrew Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 12th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487629002 NPPES
Minnesota MEDICAID 769473300
Minnesota Other D11679

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