IndividualActive
Ezinwanne Ejesieme, DDS
NPI 1417518499 · Dentist · Dallas, TX
Provider details
- NPI number
- 1417518499
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35198 (TX)
Specialties & taxonomies
Dental Providers
Practice location
2825 Oak Lawn Ave Unit 191613
Dallas, TX 75219-4631
Phone: (210) 816-2743
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 191613
Dallas, TX 75219-8503
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2019-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.