Healthcare Provider Details

I. General information

NPI: 1770048779
Provider Name (Legal Business Name): ONYINYE C MYERS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 GAP NEWPORT PIKE
CHRISTIANA PA
17509
US

IV. Provider business mailing address

205 MERWOOD DR
MORGANTOWN PA
19543-8701
US

V. Phone/Fax

Practice location:
  • Phone: 610-593-2818
  • Fax:
Mailing address:
  • Phone: 443-676-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ONYINYE C MYERS
Title or Position: GENERAL DENTIST
Credential: DDS
Phone: 610-593-2818