KM JEFFERS DENTAL CORP
NPI 1669875381
Dentist - General Practice in Ukiah, CA

Active since October 08, 2014
1119 S STATE ST, UKIAH, CA 95482(707) 462-2993(707) 462-3999 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Km Jeffers Dental Corp NPPES

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

KM JEFFERS DENTAL CORP (NPI 1669875381) is a healthcare organization registered as a general practice in Ukiah, California and active in the NPI registry since October 2014. The organization lists Matthew P Jeffers, Partner, as its authorized official.

NPPES Registry Identity

NPI1669875381
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKM JEFFERS DENTAL CORP
Location Address1119 S STATE STUkiah, CA 95482-6426
Mailing Address1119 S State StUkiah, CA 95482-6426 · (707) 462-2993 · Fax (707) 462-3999
Fax(707) 462-3999
Organization SubpartNo
Authorized OfficialMatthew P JeffersPartner · (707) 462-2993
Enumeration DateOctober 8, 2014
NPI 1669875381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 62628
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.
1119 S STATE ST, Ukiah, CA 95482

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 2

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

Dentist
1119 S STATE ST
UKIAH, CA 95482
Dentist
1119 S STATE ST
UKIAH, CA 95482

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 Km Jeffers Dental Corp's NPI number?

The NPI number for Km Jeffers Dental Corp is 1669875381. It was assigned to this organization in the NPPES registry on October 8, 2014.

Where is Km Jeffers Dental Corp located?

Km Jeffers Dental Corp is located at 1119 S State St, Ukiah, CA 95482. The listed phone number is (707) 462-2993.

What is Km Jeffers Dental Corp'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 Km Jeffers Dental Corp was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.