Provider Demographics
NPI:1043851405
Name:JONES, ANDRE THOMAS (DDS)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:THOMAS
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 1:12918 GREEN CEDAR
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4173
Mailing Address - Country:US
Mailing Address - Phone:210-705-4030
Mailing Address - Fax:
Practice Address - Street 1:1901 BABCOCK RD STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4546
Practice Address - Country:US
Practice Address - Phone:210-734-5092
Practice Address - Fax:210-898-8435
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice