DR. IKECHUKWU P. EBO D.D.S., P.A.
NPI 1093880288
Dentist in Lawrenceville, GA

Q: What is Ikechukwu Ebo's NPI number?

The NPI number for Ikechukwu Ebo is 1093880288. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Ikechukwu Ebo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ikechukwu Ebo was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006PECOS Enrolled

650 GWINNETT DR, LAWRENCEVILLE, GA 30046(770) 963-5999(770) 963-6603 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ikechukwu P. Ebo D.d.s., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IKECHUKWU P. EBO D.D.S., P.A. (NPI 1093880288) is an individual dentist in Lawrenceville, Georgia, licensed in Georgia (DN013673) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093880288

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. IKECHUKWU P. EBOCredential: D.D.S., P.A.

Location Address650 GWINNETT DRLawrenceville, GA 30046-7439

Mailing Address650 Gwinnett Dr.Lawrenceville, GA 30045 · (770) 963-5999 · Fax (770) 963-6603

Phone(770) 963-5999

Fax(770) 963-6603

Sole ProprietorYes

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 1, 2011

✔ NPI 1093880288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN013673

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7427 (NC)

650 GWINNETT DR, Lawrenceville, GA 30046

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Other Identifiers 2

Medicaid5901375NC

Medicaid89902F3NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ikechukwu P. Ebo D.d.s., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikechukwu Ebo's NPI number?

The NPI number for Ikechukwu Ebo is 1093880288. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Ikechukwu Ebo located?

Ikechukwu Ebo practices at 650 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (770) 963-5999.

What is Ikechukwu Ebo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ikechukwu Ebo enrolled in Medicare?

Yes. Ikechukwu Ebo is registered in the Medicare PECOS enrollment system.

What insurance does Ikechukwu Ebo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Ikechukwu Ebo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ikechukwu Ebo was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.