Provider Demographics
NPI:1356792097
Name:ONORIOBE, UVOH ERHIEGUEKE (DMD,MPH)
Entity type:Individual
Prefix:DR
First Name:UVOH
Middle Name:ERHIEGUEKE
Last Name:ONORIOBE
Suffix:
Gender:M
Credentials:DMD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 MAYFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3923
Mailing Address - Country:US
Mailing Address - Phone:704-804-4436
Mailing Address - Fax:
Practice Address - Street 1:9301 MAYFLOWER CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-3923
Practice Address - Country:US
Practice Address - Phone:704-804-4436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030759122300000X, 1223D0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health