Olufemi A Oguntolu is a Dentist in Revere, Massachusetts. Olufemi A Oguntolu practices all healthcare services and medical treatments related to Dentist. The NPI Number for Olufemi A Oguntolu is 1891873899. The last update date is 2007-07-08.
Olufemi A Oguntolu's current location address is 252 Squire Rd, Revere, Massachusetts. You can contact this provider via phone number 7812861620 and fax number 7812897901. The mailing address for Olufemi A Oguntolu is 252 Squire Rd, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Olufemi A Oguntolu |
|---|---|
| Address | 252 Squire Rd, Revere, Massachusetts |
| Phone Number | 7812861620 |
| Fax Number | 7812897901 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1891873899 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 252 Squire Rd |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21514311 |
| Phone Number | 7812861620 |
| Fax Number | 7812897901 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19363 |
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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 |
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What is the unique provider identifier assigned to Olufemi A Oguntolu?
The Olufemi A Oguntolu has been issued the NPI (National Provider Identifier) 1891873899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Olufemi A Oguntolu is physically located?
The Olufemi A Oguntolu is situated at the following address: 252 Squire Rd, Revere, MA 21514311.
What is the Olufemi A Oguntolu's specialty and taxonomy code?
The Olufemi A Oguntolu's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891873899 to Olufemi A Oguntolu?
The Olufemi A Oguntolu received its 1891873899 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Olufemi A Oguntolu most recently updated or revised?
The information pertaining to Olufemi A Oguntolu, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.