Dejesus, Alejandro

Dejesus, Alejandro is an individual health care provider with primary practice located at 5406 Myrtle Ave Suite 101, Ridgewood NY 11385-3453. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dejesus, Alejandro can be contacted via phone (718) 497-7100.

Contact Information

Primary practice address
5406 Myrtle Ave Suite 101 Ridgewood NY 11385-3453
Phone: (718) 497-7100
Fax: (718) 417-4294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045912 New York

Profile Details

NPI number 1457332561
LBN Legal business name Dejesus, Alejandro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457332561 NPPES
New York MEDICAID 01607487

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