Provider Demographics
NPI:1871886648
Name:CHUKWU, STELLA (DDS,MSPH)
Entity type:Individual
Prefix:DR
First Name:STELLA
Middle Name:
Last Name:CHUKWU
Suffix:
Gender:F
Credentials:DDS,MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 RITTENHOUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1237
Mailing Address - Country:US
Mailing Address - Phone:202-327-1699
Mailing Address - Fax:
Practice Address - Street 1:7838 EASTERN AVE NW STE D
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1335
Practice Address - Country:US
Practice Address - Phone:202-327-1699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10016461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry