Garrett Richard Jones

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134810872

Garrett Richard Jones is a Student in an Organized Health Care Education/Training Program in Kewaskum, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in: WI
In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

1204 Fond Du Lac Ave
Kewaskum, WI 53040-8954
Phone: (262) 419-3566

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary)	Taxonomy 122300000X · Licence 6001269-15 (WI)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1134810872
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	May 15, 2023
Last updated in NPPES	July 13, 2023
Certification date	July 6, 2023
Mailing address	861 Nantucket Dr, Janesville, WI 53546-1757