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NPI Code Detail

MEDICARE: BASEME OSUAMKPE DDS, MS

MEDICARE: BASEME OSUAMKPE DDS, MS
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
1122300000XDentist42123TX
2122300000XDentist18251MD
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710682190
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASEME OSUAMKPE DDS, MS
Provider Business Mailing Address
First Line : 1205 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8105
Country : US
Telephone Number : 346-525-2397
Fax Number :
Provider Business Practice Location Address
First Line : 1205 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8105
Country : US
Telephone Number : 346-525-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 12/08/2025

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