Individual provider · Type 1 NPI

Phillip John Dejesus Sr., DDS

General Practice Dentistry · Bridgeport, CT

NPI number 1861517237 Active

About NPI 1861517237

Phillip John Dejesus Sr., DDS's National Provider Identifier is 1861517237, issued on Mar 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2007.