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JEFFERSON DENTAL
NPI 1154638500
Dentist - General Practice in La Quinta, CA

Active since September 07, 2010
79800 HIGHWAY 111 STE 109, LA QUINTA, CA 92253(760) 775-0600(760) 775-0663 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON DENTAL (NPI 1154638500) is a healthcare organization registered as a general practice in La Quinta, California and active in the NPI registry since September 2010. The organization lists Syeda Shabnam Huq, Owner, as its authorized official.

NPPES Registry Identity

NPI1154638500
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEFFERSON DENTAL
Location Address79800 HIGHWAY 111 STE 109La Quinta, CA 92253-6003
Mailing Address79800 Highway 111 Ste 109La Quinta, CA 92253-6003 · (760) 775-0600 · Fax (760) 775-0663
Phone(760) 775-0600
Fax(760) 775-0663
Organization SubpartNo
Authorized OfficialSyeda Shabnam HuqOwner · (760) 775-0600
Enumeration DateSeptember 7, 2010
✔ NPI 1154638500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 44484✔ Licensed in CA · 56971
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.
79800 HIGHWAY 111 STE 109, La Quinta, CA 92253
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Other Identifiers 2

Medicaid1861669533CA
Medicaid1861612954CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUQ DDS INC
Clinic/Center (Dental)
79800 HIGHWAY 111 STE 109
LA QUINTA, CA 92253
Riverside County (760) 775-0600
MARIA JAIMES RDAEF2
Dental Assistant
79800 HIGHWAY 111 STE 109
LA QUINTA, CA 92253
Riverside County (951) 250-8121
APEX DENTAL GROUP OF DR KRISTINA FERNANDEZ CORP
Dentist (General Practice)
79800 HIGHWAY 111 STE 109
LA QUINTA, CA 92253
Riverside County (760) 775-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Dental's NPI number?

The NPI number for Jefferson Dental is 1154638500. It was assigned to this organization in the NPPES registry on September 7, 2010.

Where is Jefferson Dental located?

Jefferson Dental is located at 79800 Highway 111 Ste 109, La Quinta, CA 92253. The listed phone number is (760) 775-0600.

What is Jefferson Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jefferson Dental was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.