Phillip John Dejesus in Bridgeport - General Practice
Phillip John Dejesus - NPI 1861517237
Phillip John Dejesus is a General Practice in Bridgeport, Connecticut. Phillip John Dejesus practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip John Dejesus is 1861517237. The last update date is 2007-07-08.
Phillip John Dejesus's current location address is 4131 Main Street, Bridgeport, Connecticut. You can contact this provider via phone number 2033721220 and fax number 2033718540. The mailing address for Phillip John Dejesus is 4131 Main Street, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip John Dejesus |
|---|---|
| Address | 4131 Main Street, Bridgeport, Connecticut |
| Phone Number | 2033721220 |
| Fax Number | 2033718540 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1861517237 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4131 Main Street |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 6606 |
| Phone Number | 2033721220 |
| Fax Number | 2033718540 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8088 |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Phillip John Dejesus by the Centers for Medicare & Medicaid Services?
The Phillip John Dejesus has been assigned the NPI (National Provider Identifier) 1861517237. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip John Dejesus is physically located?
The Phillip John Dejesus is physically situated at the following address: 4131 Main Street, Bridgeport, CT, 6606.
What is Phillip John Dejesus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phillip John Dejesus is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Phillip John Dejesus receive the assignment of its 1861517237 from the Centers for Medicare & Medicaid Services?
The Phillip John Dejesus was issued its 1861517237 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details pertaining to Phillip John Dejesus last refreshed?
The information related to the Phillip John Dejesus, including its address, specialty, and other relevant details, was last updated on 2007-07-08.