NPIMap

Organization Active NPI

Eze Dental LLC

  • General Practice Dentistry
  • Largo, MD
National Provider Identifier
1194328203
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EZE DENTAL LLC
Practice address
1400 Mercantile LN Ste 100
Largo, MD 20774-5355
Phone
(857) 269-9114
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chibueze George Okoro, DMDNPI 1205345576
Title
Ceo/Owner
Phone
(857) 269-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1400 Mercantile LN Ste 100
Largo, MD 20774-5355

Mailing address

1400 Mercantile LN Ste 100
Largo, MD 20774-5355
Phone (301) 925-8600

National Provider Directory

National Provider Directory

Locations

1400 Mercantile Ln
Ste 100
Upper Marlboro, MD 20774
Phone (301) 925-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1194328203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "301-925-8600",
            "fax_number": "301-925-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "857-269-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "CHIBUEZE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "857-269-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.