Maridith G. De Jesus, DDS

General Practice Dentistry · Kennesaw, GA

Individual Active NPI

NPI number 1821207077

Practice location

3525 Busbee Dr NW
Kennesaw, GA 30144-5677
Phone
(678) 836-2115

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NPI record

NPI
1821207077
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
August 9, 2023
Certified
August 9, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN123034 GA
General Practice Dentistry 1223G0001X DN22274 FL
General Practice Dentistry 1223G0001X DN2274 FL

Mailing address

308 Coalter Way
Decatur, GA 30030-3321
Phone
(973) 647-5897

About Dr. De Jesus

Maridith G. De Jesus, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3525 Busbee Dr NW, Kennesaw, GA 30144-5677. The NPI number 1821207077 was assigned on May 22, 2007 and the record was last updated on August 9, 2023.

Dr. De Jesus lists 3 licenses in the registry: #DN123034 (GA) for General Practice Dentistry; #DN22274 (FL) for General Practice Dentistry; #DN2274 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maridith G. De Jesus, DDS?

The NPI number is 1821207077.

What is the phone number of Dr. De Jesus?

The phone number listed for the practice location is (678) 836-2115.

Where is Dr. De Jesus located?

3525 Busbee Dr NW, Kennesaw, GA 30144-5677.

What is the taxonomy code for Dr. De Jesus?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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