Derek C. Ego-osuala LLC
Excelsis Root Canal Specialties · Dentist (Endodontics)

Address: 7700 Old Branch Avenue, A-204, Clinton, MD 20735
Phone: 2402441013

Derek C. Ego-osuala LLC (NPI# 1780989822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1780989822
Entity Type Organization
Organization Name DEREK C. EGO-OSUALA LLC
Other Organization Name EXCELSIS ROOT CANAL SPECIALTIES
Practice Address 7700 Old Branch Avenue
A-204
Clinton
MD 20735
Practice Telephone 2402441013
Practice Fax Number 2402441035
Mailing Address 7700 Old Branch Ave
A-204
Clinton
MD 20735-1628
Mailing Telephone 2402441013
Mailing Fax Number 2402441035
Authorized Official Name Dr. Derek Ego-osuala (ENDODONTIST)
Authorized Official Telephone 2402441013
Authorized Official Credential DDS, MS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2011-01-21
Last Update Date 2013-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223E0200X Dentist · Endodontics Dental Providers 14162 MD

Other Provider/Organization Names

Other Name Type Code
Excelsis root canal specialties Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902232614 Rafael Antonio Acosta Dentist 7905 Malcolm Rd Ste 300, Clinton, MD 20735 2013-09-25
1083144992 Lane and Associates Xxxii, Dds, Pa Dentist 411 Fairview St, Clinton, NC 28328-2311 2017-06-13
1467772541 Derek Ego-osuala Dentist 7700 Old Branch Ave, A-204, Clinton, MD 20735-1628 2010-06-11
1700010709 Sachin Rastogi Dentist 7905 Malcolm Rd, Suite # 300, Clinton, MD 20735-1734 2009-05-06
1427295005 Neveen S. Wahab Dentist 7905 Malcolm Rd, Ste.#300, Clinton, MD 20735-1734 2009-01-19
1578715777 Glenn C. Schermer Dentist 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 2008-10-21
1861644163 Guido Costa Dentist 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 2008-10-17
1477705820 Allan J Goodfriend Dentist 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 2008-10-16
1508018979 Michael J Goode Dentist 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 2008-10-16
1447377718 Alan J. Goodfriend, Dmd, Glenn C. Schermer, Dmd, Guido Costa, Dmd,p.a. Dentist 7905 Malcolm Rd, Suite 300, Clinton, MD 20735-1734 2007-03-23
Find all providers in CLINTON

Office Location

Street Address 7700 OLD BRANCH AVENUE
A-204
City CLINTON
State MD
Zip Code 20735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255722187 Florence Chinwe Ukenye Nurse Practitioner 7700 Old Branch Avenue, Suite B205, Clinton, MD 20735 2015-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940456 Elise Olson Occupational Therapist 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 2019-03-12
1437651742 Total You Integrative Healthcare Inc Case Management 9135 Piscataway Rd Ste 410, Clinton, MD 20735 2018-03-02
1386193233 Benedicta C Osamor Home Health Aide 6808 Purple Lilac Ln, Clinton, MD 20735 2016-10-03
1669926309 Frankline Ngozi Obi I Home Health Aide 8111 Highland Meadows Dr, Clinton, MD 20735 2016-08-11
1770952459 Adventures One, Inc. Clinic/Center 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 2015-09-23
1730574831 Lindsey Degeorge Emergency Medicine 7503 Surratts Rd Dept Of, Clinton, MD 20735 2015-04-06
1316341860 Margaret Laurence-whitlock Speech-Language Pathologist 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 2014-10-13
1699103622 Dcps Social Worker 5504 Trout Run Rd, Clinton, MD 20735 2013-10-30
1902232614 Rafael Antonio Acosta Dentist 7905 Malcolm Rd Ste 300, Clinton, MD 20735 2013-09-25
1407135874 Richelle Wilson Harvey Occupational Therapist 8202 Shackelford Way, Clinton, MD 20735 2011-08-16
Find all providers in zip 20735

Competitor

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City CLINTON
Zip Code 20735

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Dataset Information

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.