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Contact Information

TAKIYA JEFFERSON, DMD
11414 W MARKHAM ST STE A
LITTLE ROCK, AR72211-2847
 Phone: 501-404-0529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TAKIYA JEFFERSON · (Female)

NPI Number 1811626898
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/06/2022
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 4604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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