Garrett Richard Jones

NPI #1134810872 in Kewaskum, Wisconsin

Provider Information

NPI Number: 1134810872
Entity Type: Individual
Name: Garrett Richard Jones
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 15, 2023
Last Updated: Jul 13, 2023

Practice Location

Address: 1204 FOND DU LAC AVE
City: Kewaskum
State: Wisconsin
ZIP Code: 53040-8954
Phone: (262) 419-3566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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Organizations

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