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

Neo Mamoraka Ehiwe

Individual provider General Practice Dentistry · NPI 1942947858

Neo Mamoraka Ehiwe is a General Practice Dentistry in Lilburn, Georgia. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

609 Beaver Ruin Rd NW
Lilburn, GA 30047-3401
Phone: (678) 606-9407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12916 (NC)

Record details

NPI number1942947858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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