Provider Demographics
NPI:1477972073
Name:ESEONU, CHIJIOKE ONYINYECHUKWU (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHIJIOKE
Middle Name:ONYINYECHUKWU
Last Name:ESEONU
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 SILENT CREEK CV
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2970
Mailing Address - Country:US
Mailing Address - Phone:804-920-4838
Mailing Address - Fax:
Practice Address - Street 1:220 ADMIRAL TROST RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-2163
Practice Address - Country:US
Practice Address - Phone:618-344-3456
Practice Address - Fax:618-206-2631
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX360401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty