Ikechukwu P. Ebo in Lawrenceville - General Practice

Ikechukwu P. Ebo - NPI 1093880288

Ikechukwu P. Ebo is a General Practice in Lawrenceville, Georgia. Ikechukwu P. Ebo practices all healthcare services and medical treatments related to General Practice. 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
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
Provider Enumeration Date 2006-11-22
Last Updated Date 2011-07-01

Provider Mailing Address Detail

Address 650 Gwinnett Dr.
City Lawrenceville
State Georgia (GA)
Post Code 30045
Phone Number 7709635999
Fax Number 7709636603

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7427
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89902F3 NC --
5901375 NC --

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FAQs about Ikechukwu P. Ebo

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 General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

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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