Provider Demographics
NPI:1649333766
Name:UWECHIA, STELLA NKOLI (RDH)
Entity type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:NKOLI
Last Name:UWECHIA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PAULA BLVD
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-2634
Mailing Address - Country:US
Mailing Address - Phone:631-384-3048
Mailing Address - Fax:
Practice Address - Street 1:220 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2420
Practice Address - Country:US
Practice Address - Phone:631-979-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022871-1124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist