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Dennis Dejesus Md Pa
Specialist in Columbia, South Carolina
NPI 1407019706

Dennis Dejesus Md Pa is a Specialist based in Kansas City, SC. Dennis Dejesus Md Pa practices in Columbia, SC. The NPI Number for Dennis Dejesus Md Pa is 1407019706 and holds a License No. 26223 (South Carolina).

The current practice location address for Dennis Dejesus Md Pa is 125 Beaver Dam Rd, Columbia, SC and can be reached out via phone at 816-536-2300 and via fax at 866-596-5119.

Location: 125 Beaver Dam Rd, Columbia, SC, 64151-2473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407019706
Provider Name
Dennis Dejesus Md Pa
Credential
Provider Entity Type
Organization
Address
125 Beaver Dam Rd, Columbia, SC, 64151-2473
Phone Number
816-536-2300
Fax Number
866-596-5119
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629067327 01 INDIVIDUAL NPI DENNIS DEJESUS, MD
institution
Provider Business Practice Location Address Details
Address
125 Beaver Dam Rd
City
Columbia
State
South Carolina
Zip
29223-3101
Phone Number
816-536-2300
Fax Number
866-596-5119
person
Provider Business Mailing Address Details
Address
125 Beaver Dam Rd
City
Columbia
State
South Carolina
Zip
29223-3101
Phone Number
816-536-2300
Fax Number
866-596-5119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
26223 (Oklahoma)
Definition
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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