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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1013083427 NPPES
Oklahoma MEDICAID 200089560A

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