KALU UGWA OGBUREKE (NPI# 1235298597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235298597 |
| Entity Type | Individual |
| Full Name | KALU UGWA OGBUREKE |
| Credential | BDS |
| Practice Address |
1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001 |
| Mailing Address |
1120 15th St Gc-1024 Augusta GA 30912-0004 |
| Practice Telephone | 7067219633 |
| Practice Fax Number | 7067230266 |
| Mailing Telephone | 7067219633 |
| Mailing Fax Number | 7067230266 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DNF000326 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 22BDFBT | 01 |
| GA | UNITED CONCORDIA | 1418385 | 01 |
| SC | ZG0326 | 05 | |
| GA | 586469939A | 05 |
| Street Address |
1430 JOHN WESLEY GILBERT DRIVE GC-1024 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978927 | Andrew Robert Kious | Dentist | 1430 John Wesley Gilbert Drive, Ghsu College of Dental Medicine, Augusta, GA 30912 | 2005-11-07 |
| 1801421268 | Cassandra Nicole Liston | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-03-05 |
| 1710511738 | Amara Altman | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Dental College of Georgia, Augusta, GA 30909 | 2020-02-28 |
| 1316571318 | Macy Malcom Copelan | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-27 |
| 1447884770 | Shane Mitchell Turgeon | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1295368918 | Jackie Janzen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-20 |
| 1275195984 | Anh Nguyen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 | 2019-07-02 |
| 1508328824 | Skylar Yearous | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, College of Dental Medicine Pedodontics - Gc 2116, Augusta, GA 30901 | 2019-04-04 |
| 1659832657 | Mahmoud Elashiry | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-31 |
| 1942761267 | Eric Hatten | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366546376 | Zoya B Kurago | Dentist | 1120 15th St Dept Of, Augusta, GA 30912 | 2006-09-11 |
| 1902854110 | Rafik Albert Abdelsayed | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740375500 | William D Campbell | Dentist | 1818 Warm Springs Rd, Columbus, GA 31904 | 2006-10-04 |
| 1891880720 | William H. Wall | Dentist | 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-1638 | 2006-10-04 |
| 1235248170 | Robert M Lazerson | Dentist | 3020 Roswell Rd, Suite 110, Marietta, GA 30062-4996 | 2006-08-30 |
| 1811000268 | William Paisley Hines | Dentist | 1587 Vernon Rd, Lagrange, GA 30240-4146 | 2006-08-17 |
| 1245267749 | Joel Martin Adler | Dentist | Joel M. Adler, Dds, 2677 Ridge Valley Rd Nw, Atlanta, GA 30327 | 2006-06-28 |
| 1780649202 | Stephanie Joy Drew | Dentist | 1365 Clifton Rd Ne Ste 2300, Atlanta, GA 30322-4405 | 2006-04-18 |
| 1023016748 | Michael Alan Kahn | Dentist | 2701 N. Decatur Rd., Decatur, GA 30033-5918 | 2005-07-08 |
| 1629073465 | Eric D Ferrara | Dentist | 614 S 8th St, Griffin, GA 30224-4214 | 2005-06-17 |
| 1457853210 | Pda Specialty of Georgia, LLC | Dentist | 3466 Cobb Pkwy Nw Ste 170, Acworth, GA 30101-5768 | 2018-03-07 |
| 1932521481 | Ximena Zornosa | Dentist | 428 Winn Ct, Decatur, GA 30030-1726 | 2014-01-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.