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
Fax: (972) 566-3200
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457304412 NPPES
Texas MEDICAID 171860301

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