Ikechukwu P. Ebo, D.D.S., P.A.

Dentist · Lawrenceville, GA

Individual Active NPI

NPI number 1093880288

Practice location

650 Gwinnett Dr
Lawrenceville, GA 30046-7439
Phone
(770) 963-5999
Fax
(770) 963-6603

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NPI record

NPI
1093880288
Entity type
Individual (Type 1)
Enumeration date
November 22, 2006
Last updated
July 1, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN013673 GA
General Practice Dentistry 1223G0001X 7427 NC

Mailing address

650 Gwinnett Dr.
Lawrenceville, GA 30045
Phone
(770) 963-5999
Fax
(770) 963-6603

About Dr. Ebo

Ikechukwu P. Ebo, D.D.S., P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 650 Gwinnett Dr, Lawrenceville, GA 30046-7439. The NPI number 1093880288 was assigned on November 22, 2006 and the record was last updated on July 1, 2011.

Dr. Ebo lists 2 licenses in the registry: #DN013673 (GA) for Dentist; #7427 (NC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ikechukwu P. Ebo, D.D.S., P.A.?

The NPI number is 1093880288.

What is the phone number of Dr. Ebo?

The phone number listed for the practice location is (770) 963-5999.

Where is Dr. Ebo located?

650 Gwinnett Dr, Lawrenceville, GA 30046-7439.

What is the taxonomy code for Dr. Ebo?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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