Provider Demographics
NPI:1821725268
Name:NWIZU, UJU ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:UJU
Middle Name:ELIZABETH
Last Name:NWIZU
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 1:1082 WOODBURY FALLS DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1417
Mailing Address - Country:US
Mailing Address - Phone:619-651-6776
Mailing Address - Fax:
Practice Address - Street 1:1008 GANT HILL DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2060
Practice Address - Country:US
Practice Address - Phone:217-540-5696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN119771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice