MEDICARE: DR. DAVID ONYIRIMBA 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	DN122857	GA

General Provider Information

NPI Number	:	1902471105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ONYIRIMBA DDS

Provider Business Mailing Address
First Line	:	650 PONCE DE LEON AVE STE. 300
Second Line	:	1164
City	:	ATLANTA
State	:	GA
Zip	:	30308-1804
Country	:	US
Telephone Number	:	860-559-4795
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 PEACHTREE INDUSTRIAL BLVD STE 202
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-8628
Country	:	US
Telephone Number	:	678-385-9355
Fax Number	:

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

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/09/2023

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