Ejike Bartholomew Ezeja, D.D.S.

Dentist · Saint Paul, GA

Individual Active NPI

NPI number 1336554906

Practice location

1609 Norman Rd Ste B
Aspen Dental
Saint Paul, GA 31601-4201
Phone
(229) 269-4607

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NPI record

NPI
1336554906
Entity type
Individual (Type 1)
Enumeration date
June 23, 2014
Last updated
September 26, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN014878 GA
Dentist 122300000X D13431 MN

Mailing address

1159 Fifield Ave
Apt. N4
Saint Paul, MN 55108-1108
Phone
(612) 598-3786

About Dr. Ezeja

Ejike Bartholomew Ezeja, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1609 Norman Rd Ste B, Aspen Dental, Saint Paul, GA 31601-4201. The NPI number 1336554906 was assigned on June 23, 2014 and the record was last updated on September 26, 2014.

Dr. Ezeja lists 2 licenses in the registry: #DN014878 (GA) for Dentist; #D13431 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ejike Bartholomew Ezeja, D.D.S.?

The NPI number is 1336554906.

What is the phone number of Dr. Ezeja?

The phone number listed for the practice location is (229) 269-4607.

Where is Dr. Ezeja located?

1609 Norman Rd Ste B, Aspen Dental, Saint Paul, GA 31601-4201.

What is the taxonomy code for Dr. Ezeja?

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.