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:
Health care specialties
| Specialty | Code | License # | 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 5 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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