DR. OTABOR ENATA OKUNDAYE DDS NPI 1740580059

NPI Information

NPI: 1740580059
Provider Name: DR. OTABOR ENATA OKUNDAYE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
6900 PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086
Phone: (702) 791-9019
Get Directions

DR. Otabor Enata Okundaye, DDS is a general practice dentist in North Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Otabor Enata Okundaye, DDS NPI is 1740580059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086-400
Phone: (702) 791-9019

The enumeration date for this NPI number is 11/2/2010 and was last updated on 7/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	054198-1	NEW YORK	No
2	1223G0001X	Dentist	General Practice	054198-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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