Basic Information
| Provider Information | |||||||||
| NPI: | 1538108014 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9485 CARRIAGE RUN CIR | ||||||||
| Address2: | |||||||||
| City: | LOVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451405515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136834665 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 121 E MCMILLAN ST | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137212444 | ||||||||
| FaxNumber: | 5137212398 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 15976 | OH | Y | Dental Providers | Dentist | General Practice | 1223G0001X | 7488 | KY | N | Dental Providers | Dentist | General Practice |
No ID Information.