Provider Demographics
NPI:1093881203
Name:USIFOH, DANIELA UCHECHUKWU (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:UCHECHUKWU
Last Name:USIFOH
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:MRS
Other - First Name:DANIELA
Other - Middle Name:UCHECHUKWU
Other - Last Name:ADEOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:1380
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-520-8400
Mailing Address - Fax:713-520-7773
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:1380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-520-8400
Practice Address - Fax:713-520-7773
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220781223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG60155-1OtherCHIP