National Provider Identifier Database

CHIZOBAM N IDAHOSA, D.D.S., M.S. – NPI #1669781274
Oral Medicinist

Oral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. Oral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, including acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.


Contact Information

CHIZOBAM N IDAHOSA, D.D.S., M.S.
1151 S BROAD ST
LANSDALE, PA19446-5340
Phone: 215-220-3395
Fax: 267-449-0644
Website:
Specialty Taxonomy Code
* Oral Medicinist 125Q00000X
General Practice 1223G0001X
Orofacial Pain 1223X2210X

* Indicates primary specialty

NPI Profile & details for CHIZOBAM N IDAHOSA

NPI Number 1669781274
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 09/29/2010
Last updated 06/03/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • PA License #: DS038657
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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