Provider Demographics
NPI:1548249295
Name:JONES, FRANK EDGERTON (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EDGERTON
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 S POWELL ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3627
Mailing Address - Country:US
Mailing Address - Phone:828-245-9112
Mailing Address - Fax:828-245-7542
Practice Address - Street 1:145 S POWELL ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3627
Practice Address - Country:US
Practice Address - Phone:828-245-9112
Practice Address - Fax:828-245-7542
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC94726OtherBCBS ID
NC8994726Medicaid