Provider Demographics
NPI:1174721484
Name:JONES, THOMAS LUCIUS (DDSMS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LUCIUS
Last Name:JONES
Suffix:
Gender:M
Credentials:DDSMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3331
Mailing Address - Country:US
Mailing Address - Phone:828-432-8600
Mailing Address - Fax:828-432-0043
Practice Address - Street 1:205 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3331
Practice Address - Country:US
Practice Address - Phone:828-432-8600
Practice Address - Fax:828-432-0043
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-08
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC42131223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics