Ikechukwu P. Ebo in Lawrenceville - Dentist
Ikechukwu P. Ebo - NPI 1093880288
Ikechukwu P. Ebo is a Dentist in Lawrenceville, Georgia. Ikechukwu P. Ebo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ikechukwu P. Ebo is 1093880288. The last update date is 2011-07-01.
Ikechukwu P. Ebo's current location address is 650 Gwinnett Dr., Lawrenceville, Georgia. You can contact this provider via phone number 7709635999 and fax number 7709636603. The mailing address for Ikechukwu P. Ebo is 650 Gwinnett Dr., Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ikechukwu P. Ebo |
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Address | 650 Gwinnett Dr., Lawrenceville, Georgia |
Phone Number | 7709635999 |
Fax Number | 7709636603 |
Sole Proprietor | Y |
Credentials | D.D.S., P. |
NPI Number Detail
NPI Number | 1093880288 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2011-07-01 |
Provider Mailing Address Detail
Address | 650 Gwinnett Dr. |
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City | Lawrenceville |
State | Georgia (GA) |
Post Code | 30045 |
Phone Number | 7709635999 |
Fax Number | 7709636603 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DN013673 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
89902F3 | NC | -- | |
5901375 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ikechukwu P. Ebo?
The Ikechukwu P. Ebo has been issued the NPI (National Provider Identifier) 1093880288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ikechukwu P. Ebo is physically located?
The Ikechukwu P. Ebo is situated at the following address: 650 Gwinnett Dr., Lawrenceville, GA 30045.
What is Ikechukwu P. Ebo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ikechukwu P. Ebo's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Ikechukwu P. Ebo's 1093880288 issued?
The Ikechukwu P. Ebo's 1093880288 was issued on 2006-11-22.
As of what date were the details pertaining to Ikechukwu P. Ebo last refreshed?
The information related to the Ikechukwu P. Ebo, including its address, specialty, and other relevant details, was last updated on 2011-07-01.
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