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Oluwafisayo Jebutu
General Practice Dentistry in Champaign, Illinois
NPI 1992405385

Oluwafisayo Jebutu is a General Practice Dentistry based in Champaign, IL and is specialized in General Practice. Oluwafisayo Jebutu practices in Champaign, IL. The NPI Number for Oluwafisayo Jebutu is 1992405385 and holds a License No. (Illinois).

The current practice location address for Oluwafisayo Jebutu is 1902 N Prospect Ave Ste 1, Champaign, IL and can be reached out via phone at 217-408-2511.

Location: 1902 N Prospect Ave Ste 1, Champaign, IL, 61822-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992405385
Provider Name
Oluwafisayo Jebutu
Credential
Provider Entity Type
Individual
Gender
Female
Address
1902 N Prospect Ave Ste 1, Champaign, IL, 61822-1411
Phone Number
217-408-2511
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1902 N Prospect Ave Ste 1
City
Champaign
State
Illinois
Zip
61822-1411
Phone Number
217-408-2511
Fax Number
person
Provider Business Mailing Address Details
Address
1902 N Prospect Ave Ste 1
City
Champaign
State
Illinois
Zip
61822-1411
Phone Number
217-408-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019034360 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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