Individual provider · Type 1 NPI

Edika Quevedo Dejesus, DMD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1609728633 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Call (973) 926-7000 Map

Mailing address

1001 Kipling Rd
Elizabeth, NJ 07208-1014

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609728633

Edika Quevedo Dejesus, DMD's National Provider Identifier is 1609728633, issued on Feb 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Feb 11, 2026.