Active NPIIndividual provider

Olutoyin Agbelemose, DDS

Dentist, General Practice in Forest Park, Georgia

NPI Number1659796761
Practice location
4458 Jonesboro RD, Forest Park, GA 30297-4314
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
State
Georgia
Zip
30297-4314
Phone Number
470-878-3512
Forest Park, GA 30297Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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