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Jefferson Dental
General Practice Dentistry in La Quinta, California
NPI 1154638500

Jefferson Dental is a General Practice Dentistry based in La Quinta, CA and is specialized in General Practice. Jefferson Dental practices in La Quinta, CA. The NPI Number for Jefferson Dental is 1154638500 and holds a License No. 56971 (California).

The current practice location address for Jefferson Dental is 79800 Highway 111 Ste 109, La Quinta, CA and can be reached out via phone at 760-775-0600 and via fax at 760-775-0663.

Location: 79800 Highway 111 Ste 109, La Quinta, CA, 92253-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154638500
Provider Name
Jefferson Dental
Credential
Provider Entity Type
Organization
Address
79800 Highway 111 Ste 109, La Quinta, CA, 92253-6003
Phone Number
760-775-0600
Fax Number
760-775-0663
Provider Enumeration Date
09/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861669533 05 CA
1861612954 05 CA
institution
Provider Business Practice Location Address Details
Address
79800 Highway 111 Ste 109
City
La Quinta
State
California
Zip
92253-6003
Phone Number
760-775-0600
Fax Number
760-775-0663
person
Provider Business Mailing Address Details
Address
79800 Highway 111 Ste 109
City
La Quinta
State
California
Zip
92253-6003
Phone Number
760-775-0600
Fax Number
760-775-0663
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
56971 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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