=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952255762
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOVE FAMILY ORTHODONTICS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4137 KIRBY PKWY STE 4AND5
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38115-6543
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-245-0620
-----------------------------------------------------
Fax | 901-245-0370
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4137 KIRBY PKWY STE 4AND5
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38115-6543
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-245-0620
-----------------------------------------------------
Fax | 901-245-0370
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OWNER
-----------------------------------------------------
Name | OBIAJULU ONUORA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 901-245-0620
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------