Olutoyin Agbelemose, DDS
Dentist, General Practice in Forest Park, Georgia
1659796761- Practice location
- 4458 Jonesboro RD, Forest Park, GA 30297-4314
- Phone
- 470-878-3512
- Fax
- —
- Last updated
- December 18, 2024
Olutoyin Agbelemose is a Dentist, General Practice based in Forest Park, GA. Olutoyin Agbelemose practices in Forest Park, GA and has the professional credentials of DDS. The NPI Number for Olutoyin Agbelemose is 1659796761 and holds a License No. DN123224 (GA). The current practice location address for Olutoyin Agbelemose is 4458 Jonesboro RD, Forest Park, GA 30297-4314 and can be reached out via phone at 470-878-3512.
Provider Profile Details
- NPI Number
- 1659796761
- Provider Name
- Olutoyin Agbelemose
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4458 Jonesboro RD, Forest Park, GA 30297-4314
- Phone Number
- 470-878-3512
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 26, 2014
- Last Update Date
- December 18, 2024
- Certification Date
- December 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4458 Jonesboro RD
Forest Park, GA 30297-4314 - City
- Forest Park
- State
- Georgia
- Zip
- 30297-4314
- Phone Number
- 470-878-3512
Provider Business Mailing Address Details
- Address
- 790 Glenwood Ave SE Ste 210
Atlanta, GA 30316-2024 - City
- Atlanta
- State
- GA
- Zip
- 30316-2024
- Phone Number
- 404-260-4767
License Information
- Taxonomy (1)
- Case Manager/Care Coordinator · 171M00000X
- License Number (2)
- DN123224
- License State (2)
- GA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (3)
- DN123224
- License State (3)
- GA
- Taxonomy (3)
- Dentist · 122300000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Forest Park, GA
View all Dentist, General Practice providers in Forest Park →Frequently Asked Questions
What is the NPI number of Olutoyin Agbelemose, DDS?
The NPI number of Olutoyin Agbelemose, DDS is 1659796761. It was assigned on February 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Olutoyin Agbelemose, DDS?
Olutoyin Agbelemose, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in GA under license number DN123224.
Where does Olutoyin Agbelemose, DDS practice?
The practice location is 4458 Jonesboro RD, Forest Park, GA 30297-4314. The office can be reached at 470-878-3512 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659796761 directly on the NPPES registry website.