WONGELAWIT DELDIL TADESSE DDS NPI 1487359717

NPI Information

NPI: 1487359717
Provider Name: WONGELAWIT DELDIL TADESSE, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
92 NEALY BLVD
HAMPTON, VA
ZIP 23665
Phone: (757) 764-6824
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Wongelawit Deldil Tadesse, DDS is a student in an organized health care education training program in Hampton, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Wongelawit Deldil Tadesse, DDS NPI is 1487359717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

92 NEALY BLVD
HAMPTON, VA
ZIP 23665-022
Phone: (757) 764-6824

The enumeration date for this NPI number is 4/4/2023 and was last updated on 7/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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