MEDICARE: LORETTA ANEKWE-ANWURI DMD

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
1	1223G0001X	General Practice Dentistry	35076	TX

General Provider Information

NPI Number	:	1750876454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA ANEKWE-ANWURI DMD

Provider Business Mailing Address
First Line	:	3245 MAIN ST STE 235-308
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-4411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 OVERLAND TRL STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-4516
Country	:	US
Telephone Number	:	903-868-8506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	12/02/2024

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