Jones, Jerry L
Jones, Jerry L is an sole proprietor health care provider with primary practice located at 5900 Cubero Dr Ne , Albuquerque NM 87109-3882. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jones, Jerry L can be contacted via phone (505) 797-3530.Contact Information
Primary practice address
5900 Cubero Dr Ne
Albuquerque NM 87109-3882
Phone: (505) 797-3530
Fax: (505) 797-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 85-218 | New Mexico |
Profile Details
| NPI number | 1639169634 |
|---|---|
| LBN Legal business name | Jones, Jerry L |
| Credentials | MD DDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Oct 5th, 2010 - about 14 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 | 1639169634 | NPPES |
| New Mexico | MEDICAID | 84335 | |
| New Mexico | MEDICAID | E1446 |
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