MR. ETHAN YOUNG JONES (NPI# 1497858872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497858872 |
| Entity Type | Individual |
| Full Name | MR. ETHAN YOUNG JONES |
| Credential | DDS |
| Practice Address |
1001 E Stuart Drive Galax VA 24333 |
| Practice Telephone | 2762360562 |
| Practice Fax Number | 2762360858 |
| Mailing Telephone | 2762360562 |
| Mailing Fax Number | 2762360858 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7909 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 743169 | 01 | |
| NC | 899008L | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942738208 | Ethan Jones | Counselor | 802 N 8th St, Vandalia, IL 62471-1756 | 2017-05-31 |
| 1578090544 | Ethan Mark Jones | Dentist | 9420 Dayton Lebanon Pike, Centerville, OH 45458-3860 | 2017-05-21 |
| Street Address |
1001 E STUART DRIVE |
| City | GALAX |
| State | VA |
| Zip Code | 24333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1679592554 | Joy K Creed | Nurse Practitioner | 227 Hospital Drive, Galax, VA 24333 | 2006-07-19 |
| Find all providers in zip 24333 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.