Mofolusara O Ogunfusika in Upper Marlboro - Dentist

Mofolusara O Ogunfusika - NPI 1740298371

Mofolusara O Ogunfusika is a Dentist in Upper Marlboro, Maryland. Mofolusara O Ogunfusika practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mofolusara O Ogunfusika is 1740298371. The last update date is 2017-04-04.

Mofolusara O Ogunfusika's current location address is 9614 Marlboro Pike, Upper Marlboro, Maryland. You can contact this provider via phone number 3015990404 and fax number 3015990400. The mailing address for Mofolusara O Ogunfusika is 9614 Marlboro Pike, Upper Marlboro, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Mofolusara O Ogunfusika
Address 9614 Marlboro Pike, Upper Marlboro, Maryland
Phone Number 3015990404
Fax Number 3015990400
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1740298371
Provider Enumeration Date 2006-08-03
Last Updated Date 2017-04-04

Provider Mailing Address Detail

Address 9614 Marlboro Pike
City Upper Marlboro
State Maryland (MD)
Post Code 207723670
Phone Number 3015990404
Fax Number 3015990400

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 13036
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DEN1000990 DC DENTAL LICENSE

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FAQs about Mofolusara O Ogunfusika

What is the unique identification code assigned to Mofolusara O Ogunfusika by the Centers for Medicare & Medicaid Services?

The Mofolusara O Ogunfusika has been issued the NPI (National Provider Identifier) 1740298371. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mofolusara O Ogunfusika?

The Mofolusara O Ogunfusika is physically situated at 9614 Marlboro Pike, in the city of Upper Marlboro, state of MD, with the postal code 207723670.

What is the area of specialization for Mofolusara O Ogunfusika, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mofolusara O Ogunfusika is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740298371 to Mofolusara O Ogunfusika?

The Mofolusara O Ogunfusika received its 1740298371 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.

As of what date were the details pertaining to Mofolusara O Ogunfusika last refreshed?

The information related to the Mofolusara O Ogunfusika, including its address, specialty, and other relevant details, was last updated on 2017-04-04.

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