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NPI Code Detail

MEDICARE: ANOSIKE DMD PLLC

MEDICARE: ANOSIKE DMD PLLC
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
1261QP3300XPain Clinic/Center
21223S0112XOral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number : 1538928320
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANOSIKE DMD PLLC
Provider Business Mailing Address
First Line : 2510 FOUNTAIN BREEZE DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4635
Country : US
Telephone Number : 832-847-1588
Fax Number :
Provider Business Practice Location Address
First Line : 9029 HIGHWAY 6 STE 100
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4874
Country : US
Telephone Number : 183-284-7158
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. NNAMDI L ANOSIKE
Credential : DMD
Telephone Number : 832-847-1588
Provider Enumeration Date : 03/15/2024
Last Update Date : 03/15/2024

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Directions to “ANOSIKE DMD PLLC ” Practice Location

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