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NPI Code Detail

MEDICARE: CHINNAYA IJEOMA UKPABI DDS

MEDICARE:   CHINNAYA IJEOMA UKPABI  DDS
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
1122300000XDentistDN122633GA

General Provider Information

NPI Number : 1568049179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINNAYA IJEOMA UKPABI DDS
Provider Business Mailing Address
First Line : 1262 VINTAGE POINTE DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-3277
Country : US
Telephone Number : 678-525-6384
Fax Number :
Provider Business Practice Location Address
First Line : 1896 KENNARD CT
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-2092
Country : US
Telephone Number : 688-525-6384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2021
Last Update Date : 11/22/2023

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Directions to “ CHINNAYA IJEOMA UKPABI DDS” Practice Location

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