Alexandria Izora Jones, Dental Therapy
Dental Therapist in Coos Bay, OR. Individual provider (NPI-1).
NPI number1982455804
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1982455804
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Izora Jones
- Credential
- Dental Therapy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2024
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT0020 | OR | Yes |
Practice location
630 Miluk DrCoos Bay, OR 97420-7728
Phone 541-888-9494
Mailing address
109 Elm StPhoenix, OR 97535-7765
Phone 541-816-8266
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