Provider Demographics
NPI:1053534412
Name:TROY C. JONES D.M.D.,P.C.
Entity type:Organization
Organization Name:TROY C. JONES D.M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BORGERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-684-1000
Mailing Address - Street 1:821 W WICKENBURG WAY
Mailing Address - Street 2:
Mailing Address - City:WICKENBURG
Mailing Address - State:AZ
Mailing Address - Zip Code:85390-4263
Mailing Address - Country:US
Mailing Address - Phone:928-684-1000
Mailing Address - Fax:928-684-3485
Practice Address - Street 1:821 W WICKENBURG WAY
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-4263
Practice Address - Country:US
Practice Address - Phone:928-684-1000
Practice Address - Fax:928-684-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty