Fashemo, Deji V.
Fashemo, Deji V. is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite # C-770, Dallas TX 75230-2505. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fashemo, Deji V. can be contacted via phone (972) 566-3100.Contact Information
Primary practice address
7777 Forest Ln Suite # C-770
Dallas TX 75230-2505
Phone: (972) 566-3100
Fax: (972) 566-3200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 21639 | Texas |
Profile Details
NPI number | 1457304412 |
---|---|
LBN Legal business name | Fashemo, Deji V. |
Credentials | DDS, MPH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2006 |
Last updated | Nov 10th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457304412 | NPPES |
Texas | MEDICAID | 171860301 |
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