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General NPI Number Information
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NPI Number | 1629358460
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Entity Type | Organization
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Legal Business Name | KINGSLEY ACHIKEH DDS, PA
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 8780 GEORGIA AVE
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City | SILVER SPRING
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State | MD
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Zip | 20910-3645
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Country | US
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Telephone | 301-585-1515
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Fax | 301-585-5206
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Provider Business Mailing Address
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Address Line | 8780 GEORGIA AVE
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City | SILVER SPRING
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State | MD
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Zip | 20910-3645
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Country | US
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Telephone | 301-585-1515
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Fax | 301-585-5206
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KINGSLEY U ACHIKEH
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Credential | DDS
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Telephone | 301-585-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 7058
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 6265
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11956
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License Number State | MD
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