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KM JEFFERS DENTAL CORP NPI 1669875381


NPI Information

NPI: 1669875381
Provider Name: KM JEFFERS DENTAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1119 S STATE ST
UKIAH, CA
ZIP 95482
Phone: (707) 462-2993
Get Directions

KM JEFFERS DENTAL CORP is a general practice dentist in Ukiah, 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. KM JEFFERS DENTAL CORP NPI is 1669875381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1119 S STATE ST
UKIAH, CA
ZIP 95482-426
Phone: (707) 462-2993
Fax: (707) 462-3999

The provider's authorized official is Matthew P Jeffers .
The authorized official title is Partner and has the following contact phone number (707) 462-2993.

The enumeration date for this NPI number is 10/8/2014 and was last updated on 10/8/2014.


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 Practice62628CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.