Provider Demographics
NPI:1689087116
Name:AKAH, EBISINDE MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EBISINDE
Middle Name:MARIE
Last Name:AKAH
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 1:7638 DONNEHAN RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-7498
Mailing Address - Country:US
Mailing Address - Phone:614-592-1561
Mailing Address - Fax:
Practice Address - Street 1:824 EDWARDS DR STE 124
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-2792
Practice Address - Country:US
Practice Address - Phone:614-592-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0242151223G0001X
IN12012774A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice