Provider Demographics
NPI:1073945689
Name:ONYERI, CHIOMA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:
Last Name:ONYERI
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 1:1610 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-2622
Mailing Address - Country:US
Mailing Address - Phone:806-765-2611
Mailing Address - Fax:
Practice Address - Street 1:1826 PARKWAY DR STE 500
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79403-4421
Practice Address - Country:US
Practice Address - Phone:806-687-6259
Practice Address - Fax:806-771-0850
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX402931223G0001X
NJ22DI028153001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice