Provider Demographics
NPI:1891319638
Name:ONYILE, ONOYOM O (DMD)
Entity Type:Individual
Prefix:DR
First Name:ONOYOM
Middle Name:O
Last Name:ONYILE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 128TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-1816
Mailing Address - Country:US
Mailing Address - Phone:515-223-5555
Mailing Address - Fax:
Practice Address - Street 1:2401 128TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50323-1816
Practice Address - Country:US
Practice Address - Phone:515-223-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029199001223P0221X
MD178981223P0221X
IADDS-100771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry