Individual provider · NPI-1
Ogechi Amadi
Dentist, General Practice · Henderson, NV
NPI number1679257240
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1679257240
- Entity type
- Individual (NPI-1)
- Name
- Ogechi Amadi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2023
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7967 | NV | Yes |
| 122300000X | Dentist | DERE.RR.61448989 | WA |
Practice location
2570 Wigwam PkwyHenderson, NV 89074-6224
Phone 702-757-3399
Mailing address
7581 Jacaranda Bay StLas Vegas, NV 89139-5313
Other practice locations
7581 Jacaranda Bay St
Las Vegas, NV 89139-5313
Las Vegas, NV 89139-5313
Phone 702-303-7418
6200 13th Ave S
Seattle, WA 98108-2706
Seattle, WA 98108-2706
Phone 206-461-6950
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