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WALTER JEFFERSON DENTAL CORPORATION
NPI 1437700952
Dentist - General Practice in Harbor City, CA

Active since September 25, 2019
962 SEPULVEDA BLVD, HARBOR CITY, CA 90710(310) 539-3245 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter Jefferson Dental Corporation NPPES

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

WALTER JEFFERSON DENTAL CORPORATION (NPI 1437700952), doing business as Harbor City Modern Dentistry Dental Group, is a healthcare organization registered as a general practice in Harbor City, California and active in the NPI registry since September 2019. The organization lists Walter Jefferson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437700952
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWALTER JEFFERSON DENTAL CORPORATION
Location Address962 SEPULVEDA BLVDHarbor City, CA 90710-1405
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (303) 952-0892
Phone(310) 539-3245
Organization SubpartNo
Authorized OfficialWalter JeffersonOwner · (310) 539-3245
Enumeration DateSeptember 25, 2019
✔ NPI 1437700952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
962 SEPULVEDA BLVD, Harbor City, CA 90710
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Other Names 1

Doing Business AsHarbor City Modern Dentistry Dental Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. BRIANA NGUYEN DDS
Dentist (General Practice)
962 SEPULVEDA BLVD
HARBOR CITY, CA 90710
Los Angeles County (310) 539-3245
DR. MICHELLE HANA STEPANEK DDS, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
962 SEPULVEDA BLVD
HARBOR CITY, CA 90710
Los Angeles County (310) 539-3245

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 Walter Jefferson Dental Corporation's NPI number?

The NPI number for Walter Jefferson Dental Corporation is 1437700952. It was assigned to this organization in the NPPES registry on September 25, 2019. The provider is doing business as Harbor City Modern Dentistry Dental Group.

Where is Walter Jefferson Dental Corporation located?

Walter Jefferson Dental Corporation is located at 962 Sepulveda Blvd, Harbor City, CA 90710. The listed phone number is (310) 539-3245.

What is Walter Jefferson Dental Corporation's specialty?

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

What insurance does Walter Jefferson Dental Corporation accept?

Health plans from UnitedHealthcare list Walter Jefferson Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Jefferson Dental Corporation was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.