Dr Ejike Bartholomew Ezeja, DDS is a
Dentist based in Saint Paul, Georgia. Dr Ejike Bartholomew Ezeja is licensed to practice in Georgia (license number DN014878) and his current practice location is
1609 Norman Rd Ste B, Aspen Dental, Saint Paul, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 269-4607.
NPI number for Dr Ejike Bartholomew Ezeja is 1336554906 and his current mailing address is 1159 Fifield Ave, Apt. N4, Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336554906.
Healthcare Provider's Profile
| Full Name | Dr Ejike Bartholomew Ezeja |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1609 Norman Rd Ste B, Saint Paul, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336554906
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 09/26/2014
Medical Identifiers
Medical identifiers for Dr Ejike Bartholomew Ezeja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336554906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN014878 (Georgia) | Primary |
| 122300000X | Dentist | D13431 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ejike Bartholomew Ezeja is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ejike Bartholomew Ezeja, DDS
1159 Fifield Ave, Apt. N4,
Saint Paul, MN 55108-1108
Ph: (612) 598-3786 | Dr Ejike Bartholomew Ezeja, DDS
1609 Norman Rd Ste B, Aspen Dental,
Saint Paul, GA 31601-4201
Ph: (229) 269-4607 |
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