Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Dental

Organization General Practice Dentistry · NPI 1154638500

Jefferson Dental is a General Practice Dentistry in LA Quinta, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

79800 Highway 111 Ste 109
LA Quinta, CA 92253-6003
Phone: (760) 775-0600
Fax: (760) 775-0663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 44484 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 56971 (CA)

Record details

NPI number1154638500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syeda Huq — Owner · (760) 775-0600
NPI enumeratedSeptember 7, 2010
Last updated in NPPESSeptember 7, 2010
Mailing address79800 Highway 111 Ste 109, La Quinta, CA 92253-6003

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