Provider Demographics
NPI:1861614307
Name:JONES, JAMES VINCENT
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VINCENT
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6265
Mailing Address - Country:US
Mailing Address - Phone:605-338-9242
Mailing Address - Fax:605-338-4867
Practice Address - Street 1:2001 W 45TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6265
Practice Address - Country:US
Practice Address - Phone:605-338-9242
Practice Address - Fax:605-338-4867
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM5011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164538450OtherTYPE 2 NPI NUMBER