Provider Demographics
NPI:1245931302
Name:OJEDA, JESUS ALBERTO III (DDS)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ALBERTO
Last Name:OJEDA
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:JESUS
Other - Middle Name:ALBERTO
Other - Last Name:OJEDA PACHECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3919 HOLLAND AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3880
Mailing Address - Country:US
Mailing Address - Phone:956-777-2275
Mailing Address - Fax:
Practice Address - Street 1:3302 GASTON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2013
Practice Address - Country:US
Practice Address - Phone:214-828-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program