| Eze Dental Llc | |
|
1400 Mercantile Ln Ste 100 Largo MD 20774-5355 | |
| (857) 269-9114 | |
| Not Available |
| Full Name | Eze Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1400 Mercantile Ln Ste 100, Largo, Maryland |
| Authorized Official Name and Position | Chibueze George Okoro (CEO/OWNER) |
| Authorized Official Contact | 8572699114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eze Dental Llc 1400 Mercantile Ln Ste 100 Largo MD 20774-5355 Ph: (301) 925-8600 | Eze Dental Llc 1400 Mercantile Ln Ste 100 Largo MD 20774-5355 Ph: (857) 269-9114 |
| NPI Number | 1194328203 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 7618335316 |
|---|---|
| Medicare Enrollment ID | O20230627002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194328203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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