Provider Demographics
NPI:1629846878
Name:EMAMEFE OKINEDO DMD PLLC
Entity type:Organization
Organization Name:EMAMEFE OKINEDO DMD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAMEFE
Authorized Official - Middle Name:EWOMAZINO
Authorized Official - Last Name:OKINEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-698-0894
Mailing Address - Street 1:21922 BELLAIRE BLVD STE A400
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3918
Mailing Address - Country:US
Mailing Address - Phone:281-698-0894
Mailing Address - Fax:
Practice Address - Street 1:21922 BELLAIRE BLVD STE A400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3918
Practice Address - Country:US
Practice Address - Phone:662-380-0331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty