Provider Demographics
NPI:1376275545
Name:AKPUA, TERRY CHIKE (DDS, MBA)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:CHIKE
Last Name:AKPUA
Suffix:
Gender:M
Credentials:DDS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13108 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4500
Mailing Address - Country:US
Mailing Address - Phone:301-803-8423
Mailing Address - Fax:
Practice Address - Street 1:7371 ASSATEAGUE DR STE 300
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-3201
Practice Address - Country:US
Practice Address - Phone:301-760-2194
Practice Address - Fax:301-760-2304
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MD183441223X0400X
VA04014193421223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program