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DR. NKEMAKONAM EGOLUM DDS
NPI 1992142806
Dentist - Oral and Maxillofacial Surgery in Johns Creek, GA

Active since May 31, 2013
10700 MEDLOCK BRIDGE RD STE 204, JOHNS CREEK, GA 30097(770) 764-0840(770) 764-0870 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Jul 30, 2018, Jul 28, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Nkemakonam Egolum Dds NPPES

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

DR. NKEMAKONAM EGOLUM DDS (NPI 1992142806) is an individual oral and maxillofacial surgery provider in Johns Creek, Georgia, licensed in Georgia (DN122975) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1992142806
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NKEMAKONAM EGOLUMCredential: DDS
Location Address10700 MEDLOCK BRIDGE RD STE 204Johns Creek, GA 30097-8455
Mailing Address10700 Medlock Bridge Rd Ste 204Johns Creek, GA 30097-8455 · (770) 764-0840 · Fax (770) 764-0870
Phone(770) 764-0840
Fax(770) 764-0870
Sole ProprietorNo
Enumeration DateMay 31, 2013
Last NPPES UpdateOctober 12, 20235 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1992142806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · DN122975
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10700 MEDLOCK BRIDGE RD STE 204, Johns Creek, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES

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

CREEKSIDE ORAL SURGERY INC
Dentist (Oral and Maxillofacial Surgery)
10700 MEDLOCK BRIDGE RD STE 204
JOHNS CREEK, GA 30097
Gwinnett County (770) 764-0840

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 Nkemakonam Egolum's NPI number?

The NPI number for Nkemakonam Egolum is 1992142806. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Nkemakonam Egolum located?

Nkemakonam Egolum practices at 10700 Medlock Bridge Rd Ste 204, Johns Creek, GA 30097. The listed phone number is (770) 764-0840.

What is Nkemakonam Egolum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Nkemakonam Egolum accept?

Health plans from Humana and Renaissance Dental list Nkemakonam Egolum 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 Nkemakonam Egolum was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.