Provider Demographics
NPI:1417382490
Name:NWOKOLO, NWANEKA CHIDI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NWANEKA
Middle Name:CHIDI
Last Name:NWOKOLO
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 1:215 N MARKET ST APT 310A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2563
Mailing Address - Country:US
Mailing Address - Phone:240-603-9331
Mailing Address - Fax:
Practice Address - Street 1:124 SLEEPY HOLLOW DR STE 202
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5838
Practice Address - Country:US
Practice Address - Phone:302-643-2304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00013711223G0001X
VA04014145801223G0001X
DCDEN10014261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice