Provider Demographics
NPI:1255647699
Name:ONUORA, OBIAJULU (DDS)
Entity type:Individual
Prefix:
First Name:OBIAJULU
Middle Name:
Last Name:ONUORA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N MIDKIFF SUITE A1
Mailing Address - Street 2:BLISS DENTAL
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705
Mailing Address - Country:US
Mailing Address - Phone:718-683-6523
Mailing Address - Fax:
Practice Address - Street 1:4400 N MIDKIFF RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4219
Practice Address - Country:US
Practice Address - Phone:432-689-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054532-11223G0001X
TX305241223X0400X
NMDD42091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice