EXCELSIS ROOT CANAL SPECIALTIES
NPI 1780989822
Dentist - Endodontics in Clinton, MD

Active since January 21, 2011
7700 OLD BRANCH AVENUE, A-204, CLINTON, MD 20735(240) 244-1013(240) 244-1035 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Excelsis Root Canal Specialties NPPES

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

EXCELSIS ROOT CANAL SPECIALTIES (NPI 1780989822) is a healthcare organization registered as an endodontics in Clinton, Maryland and active in the NPI registry since January 2011. The organization lists Derek Ego-osuala, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1780989822
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameDEREK C. EGO-OSUALA LLC
Location Address7700 OLD BRANCH AVENUE, A-204Clinton, MD 20735
Mailing Address7700 Old Branch Ave, A-204Clinton, MD 20735-1628 · (240) 244-1013 · Fax (240) 244-1035
Fax(240) 244-1035
Organization SubpartNo
Authorized OfficialDerek Ego-osualaEndodontist · (240) 244-1013
Enumeration DateJanuary 21, 2011
Last NPPES UpdateJanuary 31, 2013
NPI 1780989822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in MD · 14162
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
7700 OLD BRANCH AVENUE, Clinton, MD 20735

Other Names 1

Doing Business AsExcelsis Root Canal Specialties

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner
7700 OLD BRANCH AVENUE, SUITE B205
CLINTON, MD 20735

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 Derek C. Ego-Osuala LLC's NPI number?

The NPI number for Derek C. Ego-Osuala LLC is 1780989822. It was assigned to this organization in the NPPES registry on January 21, 2011. The provider is doing business as Excelsis Root Canal Specialties.

Where is Derek C. Ego-Osuala LLC located?

Derek C. Ego-Osuala LLC is located at 7700 Old Branch Avenue A-204, Clinton, MD 20735. The listed phone number is (240) 244-1013.

What is Derek C. Ego-Osuala LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Derek C. Ego-Osuala LLC was last updated on January 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.