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JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION NPI 1366688525


NPI Information

NPI: 1366688525
Provider Name: JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION

Doing Business As: HIGHLAND DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
27949 GREENSPOT ROAD
SUITE H
HIGHLAND, CA
ZIP 92346
Phone: (909) 864-6010
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JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION is a general practice dentist in Highland, CA. The provider is 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. JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION NPI is 1366688525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Highland Dental Group.

The provider's business location address is:

27949 GREENSPOT ROAD
SUITE H
HIGHLAND, CA
ZIP 92346
Phone: (909) 864-6010
Fax: (909) 864-6052

The provider's authorized official is Walter Jefferson .
The authorized official title is Owne Doctor and has the following contact phone number (909) 864-6010.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 12/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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