Provider Demographics
NPI:1073006433
Name:ANOSIKE, NNAMDI LAWRENCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NNAMDI
Middle Name:LAWRENCE
Last Name:ANOSIKE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1397
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1397
Mailing Address - Country:US
Mailing Address - Phone:862-202-0460
Mailing Address - Fax:
Practice Address - Street 1:2402 WOODED PARK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1537
Practice Address - Country:US
Practice Address - Phone:862-202-0460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX382841223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery