Provider Demographics
NPI:1376036467
Name:TORRES, JESUS CEJA JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:CEJA
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 SYMPHONY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-1733
Mailing Address - Country:US
Mailing Address - Phone:409-365-0622
Mailing Address - Fax:
Practice Address - Street 1:1111 W AIRPORT FWY STE 201
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6213
Practice Address - Country:US
Practice Address - Phone:972-793-0735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34098122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist