Individual provider · Type 1 NPI

Kelechi Ukaegbu

Periodontics · Dallas, TX

NPI number 1013682244 Active

Practice location

3302 Gaston Ave Dept Of
Dallas, TX 75246-2013

Mailing address

1500 Jackson St Apt 802
Dallas, TX 75201-4926

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X40052 (TX)
Periodontics Primary 1223P0300X40052 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1013682244

Kelechi Ukaegbu's National Provider Identifier is 1013682244, issued on Aug 10, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dallas, TX. The record was last updated on Oct 4, 2023.