Eloghosa Eguagie Ogbonmwan

Primary specialty

DentistTaxonomy code 122300000X

License

2901601325 Issued in MI

Practice address

1720 Lawndale Rd
Saginaw, MI 48638-4396

Phone

(989) 249-7888

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1699502963
  NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1356070858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 LEAR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114061",
            "telephone_number": "201-349-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LAWNDALE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486384396",
            "telephone_number": "989-249-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONMWAN",
        "first_name": "ELOGHOSA",
        "middle_name": "EGUAGIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina M Odenigbo, MS, LPC
• Kaitlyn Oehring
• Steven Donald Oehring, CPSS
• Joseph E Oesterling, MD
• Office Anesthesia, PLC
• Angelina Oggema, N.P.
• Tyia Oglesby
• John M Ogrady, MD
• Dawn Elaine Ohlendorf, LMSW
• Ohm Speciality Pharmacy LLC

• Dentist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.