Provider Demographics
NPI:1497060354
Name:OKEKE, NANCY NKEMJIKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:NKEMJIKA
Last Name:OKEKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:OKEKE
Other - Last Name:EMELOGU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7117 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-1450
Mailing Address - Country:US
Mailing Address - Phone:802-750-1917
Mailing Address - Fax:
Practice Address - Street 1:7117 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-1450
Practice Address - Country:US
Practice Address - Phone:718-543-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10021721223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics