Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kaycee Obi-Gwacham, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013441831

Dr. Kaycee Obi-Gwacham, DDS is a Student in an Organized Health Care Education/Training Program in Monroe, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
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.

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Practice location Address checks out

2200 Walters Division Rd
Monroe, NC 28110
Phone: (704) 289-1105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 55th St, Brooklyn, NY 11220-2508 — (910) 644-2884

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11139 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013441831
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 18, 2017
Last updated in NPPESAugust 29, 2018

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