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Jefferson Dental

Jefferson Dental is a healthcare organization registered as General Practice Dentistry in La Quinta, CA, holding Type 2 (organization) NPI 1154638500 since 2010. The authorized official on file is Syeda Huq, Owner.

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NPI 1154638500
Entity type Organization (Type 2)
Legal business name Jefferson Dental
Practice address 79800 HIGHWAY 111 STE 109, La Quinta, CA, 92253
Phone 7607750600
Fax 7607750663
Enumeration date 2010-09-07
Last updated in NPPES 2010-09-07

Authorized official

Name Syeda Huq
Title Owner
Phone 7607750600

Taxonomy & classification

Taxonomy code Specialty Primary License State
1223G0001X General Practice Dentistry Secondary 56971 CA
1223G0001X General Practice Dentistry Primary 44484 CA

Other identifiers

Identifier Type State Issuer
1861669533 Medicaid CA
1861612954 Medicaid CA
Copy-ready billing details
Provider: Jefferson Dental
NPI: 1154638500
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 79800 HIGHWAY 111 STE 109, La Quinta, CA, 92253

Providers at this address

NPI Name Type Specialty Location
1023699048 Huq DDS Inc Organization Dental Clinic/Center La Quinta, CA
1902657810 Apex Dental Group of Dr Kristina Fernandez Corp Organization General Practice Dentistry La Quinta, CA
1205685765 Maria Jaimes Individual Dental Assistant La Quinta, CA

Verify this record

Cross-check NPI 1154638500 against the authoritative CMS record: view Jefferson Dental on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jefferson Dental located?
The practice location on file with NPPES is in La Quinta, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-09-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-09-07.