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DENNIS DEJESUS MD PA
NPI 1407019706
Specialist in Columbia, SC

Active since July 07, 2008
125 BEAVER DAM RD, COLUMBIA, SC 29223(816) 536-2300(866) 596-5119 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dennis Dejesus Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS DEJESUS MD PA (NPI 1407019706) is a healthcare organization registered as a specialist in Columbia, South Carolina and active in the NPI registry since July 2008. The organization lists Dennis Dejesus, President, as its authorized official.

NPPES Registry Identity

NPI1407019706
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDENNIS DEJESUS MD PA
Location Address125 BEAVER DAM RDColumbia, SC 29223-3101
Mailing Address6324 N Chatham AveKansas City, MO 64151-2473 · (816) 536-2300 · Fax (866) 596-5119
Phone(816) 536-2300
Fax(866) 596-5119
Organization SubpartNo
Authorized OfficialDennis DejesusPresident · (816) 536-2300
Enumeration DateJuly 7, 2008
Last NPPES UpdateJuly 11, 2008
✔ NPI 1407019706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 26223
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.
125 BEAVER DAM RD, Columbia, SC 29223
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Other Identifiers 2

Other1629067327Individual Npi Dennis Dejesus, Md
Medicare UPINE94217

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Dejesus MD PA's NPI number?

The NPI number for Dennis Dejesus MD PA is 1407019706. It was assigned to this organization in the NPPES registry on July 7, 2008.

Where is Dennis Dejesus MD PA located?

Dennis Dejesus MD PA is located at 125 Beaver Dam Rd, Columbia, SC 29223. The listed phone number is (816) 536-2300.

What is Dennis Dejesus MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dennis Dejesus MD PA was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.