Dr. Richard T Jones, D.D.S.
Dentist, General Practice in Lusk, WY. Individual provider (NPI-1).
NPI number1477612331
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1477612331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard T Jones
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2006
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1099 | WY | Yes |
Practice location
911 S Ballancee AveLusk, WY 82225-0105
Phone 307-334-9933
Mailing address
Po Box 105Lusk, WY 82225-0105
Phone 307-334-9933
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