Provider Demographics
NPI:1346081528
Name:JEFFS, CHRISTINE (RDH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:JEFFS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 W LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-5572
Mailing Address - Country:US
Mailing Address - Phone:801-310-5720
Mailing Address - Fax:
Practice Address - Street 1:1795 W 500 S STE B2
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-3187
Practice Address - Country:US
Practice Address - Phone:801-491-6920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7367486-9920124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist