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 provides Specialist services 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 Not confirmed with CMS for 18 years — call before visiting
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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