Jones, Brian Timothy

Jones, Brian Timothy is an individual health care provider with primary practice located at 202 Oregon St , Greenville SC 29605-1051. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Jones, Brian Timothy can be contacted via phone (864) 676-9873.

Contact Information

Primary practice address
202 Oregon St Greenville SC 29605-1051
Phone: (864) 676-9873
Fax: (864) 676-9870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4107 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 4107 South Carolina

Profile Details

NPI number 1548225659
LBN Legal business name Jones, Brian Timothy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 16th, 2008 - about 17 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 1548225659 NPPES
South Carolina MEDICAID ZX4107

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