Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dennis Dejesus MD PA

Organization Specialist · NPI 1407019706

Dennis Dejesus MD PA is a Specialist in Columbia, South Carolina. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Beaver Dam Rd
Columbia, SC 29223-3101
Phone: (816) 536-2300
Fax: (866) 596-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 26223 (OK)

Record details

NPI number1407019706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Dejesus — President · (816) 536-2300
NPI enumeratedJuly 7, 2008
Last updated in NPPESJuly 11, 2008
Mailing address6324 N Chatham Ave, Kansas City, MO 64151-2473

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