Individual provider · Type 1 NPI
Chisohlm Ibezim Chukwu, MD
Oral and Maxillofacial Surgery (Dentist) · Charlotte, NC
Practice location
2114 Freeman Park Dr
Charlotte, NC 28273-3237
Mailing address
5036 Mountain Pass Dr
Charlotte, NC 28213-7162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 14288 (NC) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1568080448
Chisohlm Ibezim Chukwu, MD's National Provider Identifier is 1568080448, issued on Jul 8, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charlotte, NC. The record was last updated on Jan 16, 2026.