Provider Demographics
NPI:1679586382
Name:JONES, KENDALL LEWIS (DDS)
Entity type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:LEWIS
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 1:1901 S ROOSEVELT BLVD
Mailing Address - Street 2:UNIT #404S
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5248
Mailing Address - Country:US
Mailing Address - Phone:919-619-6700
Mailing Address - Fax:
Practice Address - Street 1:1010 KENNEDY DR
Practice Address - Street 2:SUITE #307
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4134
Practice Address - Country:US
Practice Address - Phone:305-292-6422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist