Provider Demographics
NPI:1629846878
Name:EMAMEFE OKINEDO DMD PLLC
Entity Type:Organization
Organization Name:EMAMEFE OKINEDO DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAMEFE
Authorized Official - Middle Name:EWOMAZINO
Authorized Official - Last Name:OKINEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:662-380-0331
Mailing Address - Street 1:28818 INNES PARK PL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6947
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21922 BELLAIRE BLVD STE A400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3918
Practice Address - Country:US
Practice Address - Phone:662-380-0331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental