Provider Demographics
NPI:1366019242
Name:KWAKYE-ACKAH, EMELDA YAA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMELDA
Middle Name:YAA
Last Name:KWAKYE-ACKAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CLINTON CT
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2403
Mailing Address - Country:US
Mailing Address - Phone:252-451-1680
Mailing Address - Fax:252-462-1012
Practice Address - Street 1:120 CLINTON CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2403
Practice Address - Country:US
Practice Address - Phone:252-451-1680
Practice Address - Fax:252-451-1680
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC134791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics