Organization · Type 2 NPI
Dennis Dejesus MD PA
Specialist · Columbia, SC
NPI number
1407019706
Active
Practice location
125 Beaver Dam Rd
Columbia, SC 29223-3101
Fax (866) 596-5119
Mailing address
6324 N Chatham Ave
Kansas City, MO 64151-2473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 26223 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1407019706
Dennis Dejesus MD PA's National Provider Identifier is 1407019706, issued on Jul 7, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbia, SC. The record was last updated on Jul 11, 2008.