Jefferson Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFERSON FAMILY DENTISTRY, PC

Practice address

301 American Ave
Jefferson, IA 50129-2803

Phone

(515) 386-3768

Fax

(515) 386-3790

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Lestina

Title

Office Manager/Dental Assistant

Phone

(515) 386-3768

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Allen Vanbeek, D.D.S

  • Dentist
  • Ankeny, IA
  • NPI 1104267541
  NPD
• Zachary Waterbury, DDS

  • Dentist
  • Jefferson, IA
  • NPI 1043052962
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1114761269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501290008",
            "telephone_number": "515-386-3768",
            "fax_number": "515-386-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 AMERICAN AVE",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292803",
            "telephone_number": "515-386-3768",
            "fax_number": "515-386-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "LESTINA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER/DENTAL ASSISTANT",
        "authorized_official_telephone_number": "515-386-3768"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidy Hackbarth
• Philip Heisterkamp, D.C.
• Vicky Hooi, M.A.
• Hy-Vee Inc (Hy-Vee Pharmacy (1297))
• Iowa House Inc
• Jefferson-Scranton Community School District
• Steven M. Karber, M.D.
• Sarah Kilbourn
• Kyle Duwayne Kinne, LMHC
• Paul Anthony Klodd, D.D.S.

• General Practice Dentistry in Jefferson, IA
• Providers in Jefferson, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.