# JEFFERY A. DAUGHENBAUGH, D.D.S., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760498505
- **Authorized official:** DR. JEFFERY ALAN DAUGHENBAUGH D.D.S. (PRESIDENT)
- **Authorized official phone:** (831) 757-3951

## Contact information

- **Practice address:** 780 E ROMIE LN, SUITE E, SALINAS, CA 93901-4223
- **Practice address phone:** (831) 757-3951
- **Practice address fax:** (831) 757-1432
- **Mailing address:** 780 E ROMIE LN, SUITE E, SALINAS, CA 93901-4223
- **Mailing address phone:** (831) 757-3951
- **Mailing address fax:** (831) 757-1432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 24000 | CA | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 01/18/2013