Provider Demographics
NPI:1073739066
Name:EKMEKCIOGLU, OLIMBI (DMD)
Entity Type:Individual
Prefix:MS
First Name:OLIMBI
Middle Name:
Last Name:EKMEKCIOGLU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S 44TH ST
Mailing Address - Street 2:2ND. FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2932
Mailing Address - Country:US
Mailing Address - Phone:267-973-3626
Mailing Address - Fax:215-382-0728
Practice Address - Street 1:2821 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2300
Practice Address - Country:US
Practice Address - Phone:215-492-9291
Practice Address - Fax:215-492-5856
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02309000122300000X
PADS036624122300000X
NY053416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist