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Dr. Chizobam Nkiru Idahosa, DDS,MS
Oral Medicinist in Philadelphia, Pennsylvania
NPI 1669781274

Chizobam Nkiru Idahosa is a Oral Medicinist based in North Wales, PA. Chizobam Nkiru Idahosa practices in Philadelphia, PA and has the professional credentials of DDS,MS. The NPI Number for Chizobam Nkiru Idahosa is 1669781274 and holds a License No. DS038657 (Pennsylvania).

The current practice location address for Chizobam Nkiru Idahosa is 240 S 40Th St, Philadelphia, PA and can be reached out via phone at 215-898-8965.

Location: 240 S 40Th St, Philadelphia, PA, 19454-1303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669781274
Provider Name
Chizobam Nkiru Idahosa
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
240 S 40Th St, Philadelphia, PA, 19454-1303
Phone Number
215-898-8965
Fax Number
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 S 40Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-6030
Phone Number
215-898-8965
Fax Number
person
Provider Business Mailing Address Details
Address
240 S 40Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-6030
Phone Number
215-898-8965
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS038657 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
DS038657 (Pennsylvania)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Oral Medicinist
Speciality
-
Taxonomy
125Q00000X
License No.
DS038657 (Pennsylvania)
Definition
A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
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