Healthcare Provider Details

I. General information

NPI: 1699600395
Provider Name (Legal Business Name): STEPHEN OGAREKPE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 8TH DIVISION RD
COLUMBIA SC
29207-5700
US

IV. Provider business mailing address

250 BRITTANY FARMS RD APT C
NEW BRITAIN CT
06053-1165
US

V. Phone/Fax

Practice location:
  • Phone: 803-751-2160
  • Fax:
Mailing address:
  • Phone: 757-354-5240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012869
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: