Provider Demographics
NPI:1366610859
Name:AIKEN, MUNSON, & JONES, I, PA
Entity type:Organization
Organization Name:AIKEN, MUNSON, & JONES, I, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES I
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:910-575-6300
Mailing Address - Street 1:1611 NW 12 AVENUE
Mailing Address - Street 2:UROLOGY DEPARTMENT
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-3670
Mailing Address - Fax:305-243-4653
Practice Address - Street 1:688 SUNSET BLVD N.
Practice Address - Street 2:
Practice Address - City:SUNSET BEACH
Practice Address - State:NC
Practice Address - Zip Code:28468
Practice Address - Country:US
Practice Address - Phone:910-575-6300
Practice Address - Fax:910-575-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7618122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902875Medicaid