IndividualActive
Jonathan Dejong, D.D.S.
NPI 1396952297 · Oral and Maxillofacial Surgery (Dentist) · Fort Dodge, IA
Provider details
- NPI number
- 1396952297
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 08428 (IA)
Specialties & taxonomies
Dental Providers
Practice location
804 Kenyon Rd Ste 120
Fort Dodge, IA 50501-5746
Phone: (515) 576-8727
Fax: (515) 576-7076
Approximate (ZIP-level) locationGet directions
Mailing address
804 Kenyon Rd Ste 120
Fort Dodge, IA 50501-5746
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2010-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.