MEDICARE: DR. JOSEPH YOLANDO DE JESUS DDS, MSD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DE00009560	WA
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DE00009560	WA

General Provider Information

NPI Number	:	1538249321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH YOLANDO DE JESUS DDS, MSD

Provider Business Mailing Address
First Line	:	3242 CAPITOL BLVD SE
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-3304
Country	:	US
Telephone Number	:	360-943-4531
Fax Number	:	360-357-4659

Provider Business Practice Location Address
First Line	:	3242 CAPITOL BLVD SE
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-3304
Country	:	US
Telephone Number	:	360-943-4531
Fax Number	:	360-357-4659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	01/27/2026

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Directions to “ DR. JOSEPH YOLANDO DE JESUS DDS, MSD” Practice Location

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