Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DE60830772 | WA |
N | 204E00000X | Oral & Maxillofacial Surgeon | DR60468262 | WA |
NPI | 1174949374 |
---|---|
Provider Name | Richard Scott Jones |
First Address | Seattle, WA 98195 |
Second Address | Spokane Valley, WA 99037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2014 |
Last Update Date | 30/07/2018 |