npidexNPI registry + Medicare data

CHIZOBAM IDAHOSA, D.D.S., M.S.

Oral Medicine Dentistry · LANSDALE, PA

Individual Active NPI 1669781274

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral Medicine Dentistry125Q00000X✓DS038657PA
General Practice Dentistry1223G0001XDS038657PA
Orofacial Pain Dentistry1223X2210XDS038657PA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Other Oral Medicine Dentistry providers in Pennsylvania

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.