Provider Demographics
NPI:1144788407
Name:ACQUAAH, EKOW (DDS)
Entity Type:Individual
Prefix:DR
First Name:EKOW
Middle Name:
Last Name:ACQUAAH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 MOUNTAIN AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-1240
Mailing Address - Country:US
Mailing Address - Phone:551-999-2226
Mailing Address - Fax:
Practice Address - Street 1:812 HAMILTON ST STE 1
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3157
Practice Address - Country:US
Practice Address - Phone:732-846-2494
Practice Address - Fax:732-846-9397
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027750001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice