Provider Demographics
NPI:1235773896
Name:ANNETTE OGUNNOWO, DDS, PA
Entity Type:Organization
Organization Name:ANNETTE OGUNNOWO, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNNOWO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-266-4412
Mailing Address - Street 1:1230 SW HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-4069
Mailing Address - Country:US
Mailing Address - Phone:785-266-4412
Mailing Address - Fax:
Practice Address - Street 1:1230 SW HARVEY ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-4069
Practice Address - Country:US
Practice Address - Phone:785-266-4412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty