DR. NKEMAKONAM EGOLUM DDS NPI 1992142806

NPI Information

  • NPI: 1992142806
  • Provider Name: DR. NKEMAKONAM EGOLUM, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 10700 MEDLOCK BRIDGE RD STE 204
    JOHNS CREEK, GA
    ZIP 30097
  • Phone: (770) 764-0840

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NPI Details

DR. Nkemakonam Egolum, DDS is an oral and maxillofacial surgery dentist in Johns Creek, GA. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Nkemakonam Egolum, DDS NPI is 1992142806. 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:

10700 MEDLOCK BRIDGE RD STE 204
JOHNS CREEK, GA
ZIP 30097-455
Phone: (770) 764-0840
Fax: (770) 764-0870

The enumeration date for this NPI number is 5/31/2013 and was last updated on 10/12/2023.

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
11223S0112XDentistOral and Maxillofacial SurgeryDN122975GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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