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

TaxonomyCodeLicense
Specialist Primary 174400000X26223 (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.