| Glow Up Dentistry, Pllc | |
|
10310 W Grand Pkwy S Ste 202 Richmond TX 77406-5924 | |
| (346) 843-8743 | |
| (346) 843-8757 |
| Full Name | Glow Up Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10310 W Grand Pkwy S Ste 202, Richmond, Texas |
| Authorized Official Name and Position | Ginger Unegbu (OWNER/DENTIST) |
| Authorized Official Contact | 3468438743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glow Up Dentistry, Pllc 10310 W Grand Pkwy S Ste 202 Richmond TX 77406-5924 Ph: (346) 843-8743 | Glow Up Dentistry, Pllc 10310 W Grand Pkwy S Ste 202 Richmond TX 77406-5924 Ph: (346) 843-8743 |
| NPI Number | 1558076653 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 2860847845 |
|---|---|
| Medicare Enrollment ID | O20231011001499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558076653 | NPI | - | NPPES |
| 1881251353 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Ginger Ndidi Unegbu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881251353 PECOS PAC ID: 3779938758 Enrollment ID: I20231011001757 |
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