Provider Demographics
NPI:1871516724
Name:JONES, BARRY WEBB JR (DMD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:WEBB
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:712 S COIT ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5113
Mailing Address - Country:US
Mailing Address - Phone:843-667-4300
Mailing Address - Fax:843-667-0709
Practice Address - Street 1:712 S COIT ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5113
Practice Address - Country:US
Practice Address - Phone:843-667-4300
Practice Address - Fax:843-667-0709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19411223P0300X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment