Provider Demographics
NPI:1689271835
Name:OKOJIE, PERPETUA (DDS)
Entity Type:Individual
Prefix:
First Name:PERPETUA
Middle Name:
Last Name:OKOJIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PERPETUA
Other - Middle Name:A
Other - Last Name:OKOJIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:41 TRACIE TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-9148
Mailing Address - Country:US
Mailing Address - Phone:646-753-4800
Mailing Address - Fax:325-617-5708
Practice Address - Street 1:1912 SHERWOOD WAY
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-3926
Practice Address - Country:US
Practice Address - Phone:325-617-2914
Practice Address - Fax:325-617-5708
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice