Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ikechukwu P. Ebo, DDS, PA

Individual provider Dentist · NPI 1093880288

Dr. Ikechukwu P. Ebo, DDS, PA is a Dentist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia and North Carolina.

Licensed in
GA, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

650 Gwinnett Dr
Lawrenceville, GA 30046-7439
Phone: (770) 963-5999
Fax: (770) 963-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN013673 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7427 (NC)

Record details

NPI number1093880288
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 1, 2011

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