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NPI Code Detail

MEDICARE: DR. CHIKA OKABE D.M.D.

MEDICARE:  DR. CHIKA  OKABE  D.M.D.
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
1122300000XDentistDN012057GA

General Provider Information

NPI Number : 1982806816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHIKA OKABE D.M.D.
Provider Business Mailing Address
First Line : 2878 RIDGEMORE RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-1448
Country : US
Telephone Number : 404-351-4748
Fax Number :
Provider Business Practice Location Address
First Line : 2024 POWERS FERRY RD SE
Second Line : SUITE 190
City : ATLANTA
State : GA
Zip : 30339-5011
Country : US
Telephone Number : 770-953-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHIKA OKABE D.M.D.” Practice Location

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