# ISIOMA A OKONMAH, D.D.S., M.P.H., P.A. CONCORD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VIDENT DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396383345
- **Authorized official:** DR. ISIOMA OKONMAH D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (704) 780-4333

## Contact information

- **Practice address:** 538 LAKE CONCORD RD NE, CONCORD, NC 28025-2926
- **Practice address phone:** (704) 780-4333
- **Practice address fax:** (704) 780-4330
- **Mailing address:** PO BOX 1082, CONCORD, NC 28026-1082
- **Mailing address phone:** (704) 780-4333
- **Mailing address fax:** (704) 780-4330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 12/19/2019