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DEREK C. EGO-OSUALA LLC NPI 1780989822


NPI Information

NPI: 1780989822
Provider Name: DEREK C. EGO-OSUALA LLC

Doing Business As: EXCELSIS ROOT CANAL SPECIALTIES

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
7700 OLD BRANCH AVENUE
A-204
CLINTON, MD
ZIP 20735
Phone: (240) 244-1013
Get Directions

DEREK C. EGO-OSUALA LLC is an endodontics dentist in Clinton, MD. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DEREK C. EGO-OSUALA LLC NPI is 1780989822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Excelsis Root Canal Specialties.

The provider's business location address is:

7700 OLD BRANCH AVENUE
A-204
CLINTON, MD
ZIP 20735
Phone: (240) 244-1013
Fax: (240) 244-1035

The provider's authorized official is Derek Ego-osuala .
The authorized official title is Endodontist and has the following contact phone number (240) 244-1013.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/31/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics14162MARYLANDYes

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

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