Jefferson Dental

Specialty details in registry · La Quinta, CA

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At a glance

79800 Highway 111 Ste 109, La Quinta, CA 92253-6003

NPPES record updated Sep 7, 2010. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

79800 Highway 111 Ste 109
La Quinta, CA 92253-6003
Professional details: NPI, taxonomy & registry record
NPI1154638500
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Sep 7, 2010
Record updated
Sep 7, 2010
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X

License reported: 56971 CA

Specialty details in registry

1223G0001X · Primary

License reported: 44484 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

79800 Highway 111 Ste 109
La Quinta, CA 92253-6003
Phone
(760) 775-0600
Fax
(760) 775-0663
Mailing address
79800 HIGHWAY 111 STE 109

LA QUINTA, CA 922536003
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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