DR. CYNTHIA UCHECHUKWU UDEH DDS NPI 1912764457

NPI Information

  • NPI: 1912764457
  • Provider Name: DR. CYNTHIA UCHECHUKWU UDEH, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 811 S PAULINA ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 996-7546

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NPI Details

DR. Cynthia Uchechukwu Udeh, DDS is a prosthodontics dentist in Chicago, IL with 5 years of experience. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Cynthia Uchechukwu Udeh, DDS NPI is 1912764457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY
Graduation Year:2021

The provider's business location address is:

811 S PAULINA ST
CHICAGO, IL
ZIP 60612-353
Phone: (312) 996-7546

The NPI 1912764457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/1/2024 and was last updated on 8/27/2025.

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
1122300000XDentistD15026MINNESOTANo
21223P0700XDentistProsthodonticsD15026MINNESOTANo
31223S0112XDentistOral and Maxillofacial SurgeryD15026MINNESOTANo
41223P0700XDentistProsthodontics021003473ILLINOISYes

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: 11/21/2025

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