Provider Demographics
NPI:1689363228
Name:NWEZE-OKUDO, SILVIA (DDS)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:NWEZE-OKUDO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 VIRGINIA PKWY STE 103-214
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5710
Mailing Address - Country:US
Mailing Address - Phone:713-382-1175
Mailing Address - Fax:
Practice Address - Street 1:605 NORTHWEST PKWY STE 130
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-2946
Practice Address - Country:US
Practice Address - Phone:817-270-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist