MEDICARE: AKAMNONU DENTAL GROUP PLLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1972446474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKAMNONU DENTAL GROUP PLLC

Provider Business Mailing Address
First Line	:	9242 MARILYN PL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-0049
Country	:	US
Telephone Number	:	682-221-9340
Fax Number	:

Provider Business Practice Location Address
First Line	:	9242 MARILYN PL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-0049
Country	:	US
Telephone Number	:	682-221-9340
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. CYPRIAN OBINNA AKAMNONU
Credential	:	DDS
Telephone Number	:	682-221-9340

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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