Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIDE EBOH
NPI 1184319055
Dentist in Phoenix, AZ

Q: What is Jide Eboh's NPI number?

The NPI number for Jide Eboh is 1184319055. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Jide Eboh'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 Jide Eboh was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 April 06, 2023

4501 N 7TH ST, PHOENIX, AZ 85014(602) 845-5730 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Apr 6, 2023 (2 updates tracked since 2023).

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About Jide Eboh NPPES

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

JIDE EBOH (NPI 1184319055) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D012984) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1184319055

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJIDE EBOH

Location Address4501 N 7TH STPhoenix, AZ 85014-3804

Mailing Address11152 S Gessner RdHouston, TX 77071-1908 · (832) 486-0587

Phone(602) 845-5730

Sole ProprietorNo

Enumeration DateApril 6, 2023

Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration

NPPES CertifiedNovember 3, 2026

✔ NPI 1184319055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D012984

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.

4501 N 7TH ST, Phoenix, AZ 85014

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX CENTRAL DENTAL PARTNERS LLC

Dentist (General Practice)