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NPI Code Detail

MEDICARE: DR. OLIVIA C. OGBUAKU DDS

MEDICARE:  DR. OLIVIA C. OGBUAKU  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist17904MD

General Provider Information

NPI Number : 1124712153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA C. OGBUAKU DDS
Provider Business Mailing Address
First Line : 1405 BERMUDA DUNES CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-3114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7101 ANNAPOLIS RD
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-2129
Country : US
Telephone Number : 301-895-0402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 07/11/2024

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Directions to “ DR. OLIVIA C. OGBUAKU DDS” Practice Location

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