Dejesus, Phillip John
Dejesus, Phillip John is an individual health care provider with primary practice located at 4131 Main Street , Bridgeport CT 06606. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dejesus, Phillip John can be contacted via phone (203) 372-1220.Contact Information
Primary practice address
4131 Main Street
Bridgeport CT 06606
Phone: (203) 372-1220
Fax: (203) 371-8540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 008088 | Connecticut |
Profile Details
| NPI number | 1861517237 |
|---|---|
| LBN Legal business name | Dejesus, Phillip John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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