DR. PHILLIP JOHN DEJESUS DDS NPI 1861517237

NPI Information

DR. Phillip John Dejesus, DDS is a general practice dentist in Bridgeport, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Phillip John Dejesus, DDS NPI is 1861517237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 MAIN STREET
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 372-1220
Fax: (203) 371-8540

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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