Horatio Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HORATIO DENTAL CLINIC

Practice address

1400 N Center St Ste 100
Bonham, TX 75418-3018

Phone

(425) 761-6990

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wilfred Omoghibora Ukhurebor, DDSNPI 1427502921

Title

General Dentist/ Owner

Phone

(425) 761-6990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wilfred Omoghibora Ukhurebor, DDS

  • General Practice Dentistry
  • Bonham, TX
  • NPI 1427502921
  NPD Authorized official

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1750948618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 RANDOLPH STREET",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "425-761-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N CENTER ST STE 100",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754183018",
            "telephone_number": "425-761-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORATIO DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "UKHUREBOR",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "OMOGHIBORA",
        "authorized_official_title_or_position": "GENERAL DENTIST/ OWNER",
        "authorized_official_telephone_number": "425-761-6990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedrea Diann Higginbotham, COTA
• Hofmann-Mraz Care Home
• Honey Grove Isd
• Misty Marie Hood, M.S., CCC-SLP
• Jerry Joe Hopson, DDS
• Hospitalist Medicine Physicians of Texas - Cypress PLLC
• Logan Houser
• Candace Hunnicutt
• Illuminate Hope Counseling, PLLC
• Shava Lynne Ivery, LCSW

• General Practice Dentistry in Bonham, TX
• Providers in Bonham, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.