Provider Demographics
NPI:1174035497
Name:ALLAN C JONES DDS MS APC
Entity type:Organization
Organization Name:ALLAN C JONES DDS MS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-373-1999
Mailing Address - Street 1:23440 HAWTHORNE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4771
Mailing Address - Country:US
Mailing Address - Phone:310-373-1999
Mailing Address - Fax:
Practice Address - Street 1:23440 HAWTHORNE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4771
Practice Address - Country:US
Practice Address - Phone:310-373-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment