De Jesus, Jose R

De Jesus, Jose R is an individual health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. De Jesus, Jose R can be contacted via phone (704) 853-5191.

Contact Information

Primary practice address
991 W Hudson Blvd Gastonia NC 28052-6430
Phone: (704) 853-5191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1817 Puerto Rico
Dental Providers / General Practice 1223G0001X 12041 North Carolina

Profile Details

NPI number 1588650097
LBN Legal business name De Jesus, Jose R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Oct 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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