Nnenna Nwanyiriub Eboda in Flint - Pediatric Dentistry

Nnenna Nwanyiriub Eboda - NPI 1912020363

Nnenna Nwanyiriub Eboda is a Pediatric Dentistry in Flint, Michigan. Nnenna Nwanyiriub Eboda practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Nnenna Nwanyiriub Eboda is 1912020363. The last update date is 2007-07-09.

Nnenna Nwanyiriub Eboda's current location address is 2222 S Linden Rd, Flint, Michigan. You can contact this provider via phone number 8102309800 and fax number 8102309802. The mailing address for Nnenna Nwanyiriub Eboda is 2222 S Linden Rd, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Nnenna Nwanyiriub Eboda
Address 2222 S Linden Rd, Flint, Michigan
Phone Number 8102309800
Fax Number 8102309802
Sole Proprietor Y
Credentials BDS

NPI Number Detail

NPI Number 1912020363
Provider Enumeration Date 2007-04-09
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2222 S Linden Rd
City Flint
State Michigan (MI)
Post Code 485325475
Phone Number 8102309800
Fax Number 8102309802

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2901017887
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1002114 MI HEALTH PLUS INSURANCE ID#

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FAQs about Nnenna Nwanyiriub Eboda

What is the unique identifier code issued to Nnenna Nwanyiriub Eboda by the Centers for Medicare & Medicaid Services (CMS)?

The Nnenna Nwanyiriub Eboda has been assigned the NPI (National Provider Identifier) 1912020363. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Nnenna Nwanyiriub Eboda is geographically located?

The Nnenna Nwanyiriub Eboda is physically situated at the following location: 2222 S Linden Rd, Flint, MI, 485325475.

What is Nnenna Nwanyiriub Eboda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nnenna Nwanyiriub Eboda's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912020363 to Nnenna Nwanyiriub Eboda?

The Centers for Medicare & Medicaid Services originally issued the 1912020363 to Nnenna Nwanyiriub Eboda on 2007-04-09.

When was the Nnenna Nwanyiriub Eboda's information last updated?

The Nnenna Nwanyiriub Eboda's information was last updated on 2007-07-09.

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