DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHIZOBAM NKIRU IDAHOSA, D.D.S., M.S.

Active

DR. CHIZOBAM NKIRU IDAHOSA, D.D.S., M.S. is a 125Q00000X healthcare provider located in LANSDALE, Pennsylvania. NPI 1669781274 is currently active in the NPPES registry. Verify at CMS.

125Q00000X · LANSDALE, PA

Registration Details

NPI Number
1669781274
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2010 (15.842583207134 yrs)
Last Updated
Jun 3, 2025
Licenses
DS038657 (PA)
DS038657 (PA)
DS038657 (PA)

Practice Information

Address
1151 S BROAD ST
LANSDALE, PA, 194465340
Browse PA providers · Browse ZIP 19446
Phone
2152203395
Fax
2674490644
Primary Specialty
125Q00000X
125Q00000X
Additional Specialty
1223X2210X
Additional Specialty
125Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.