Individual provider · Type 1 NPI

Alexandria Izora Jones, DENTAL THERAPY

Dental Therapist · Coos Bay, OR

NPI number 1982455804 Active

Practice location

630 Miluk Dr
Coos Bay, OR 97420-7728

Mailing address

109 Elm St
Phoenix, OR 97535-7765

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT0020 (OR)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

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About NPI 1982455804

Alexandria Izora Jones, DENTAL THERAPY's National Provider Identifier is 1982455804, issued on Mar 28, 2024. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Coos Bay, OR. The record was last updated on Mar 28, 2024.