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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERSON DENTAL

Active Organization

JEFFERSON DENTAL is a General Dentistry organization located in LA QUINTA, California. NPI 1154638500 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LA QUINTA, CA

Registration Details

NPI Number
1154638500
Provider Type
Organization
NPI Issued
Sep 7, 2010 (15.950126442395 yrs)
Last Updated
Sep 7, 2010
Licenses
56971 (CA)
44484 (CA)

Practice Information

Address
79800 HIGHWAY 111 STE 109
LA QUINTA, CA, 922536003
Browse CA providers · Browse ZIP 92253
Phone
7607750600
Fax
7607750663
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in LA QUINTA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.