Provider Demographics
NPI:1770654717
Name:NNADI, STELLA OGOCHUKU (DMD)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:OGOCHUKU
Last Name:NNADI
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:10230 BERKELEY PLACE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262
Mailing Address - Country:US
Mailing Address - Phone:704-688-7588
Mailing Address - Fax:704-688-7595
Practice Address - Street 1:10230 BERKELEY PLACE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1202
Practice Address - Country:US
Practice Address - Phone:704-688-7588
Practice Address - Fax:704-688-7595
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2023-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC71471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice