Akinyede, Ibukun T

Akinyede, Ibukun T is an individual health care provider with primary practice located at 215 Walnut Street , Ellington MO 63638-0157. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Akinyede, Ibukun T can be contacted via phone (573) 323-0423.

Contact Information

Primary practice address
215 Walnut Street Ellington MO 63638-0157
Phone: (573) 323-0423
Fax: (573) 323-8931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019028433 Illinois
Dental Providers / General Practice 1223G0001X 2011017343 Missouri

Profile Details

NPI number 1215240072
LBN Legal business name Akinyede, Ibukun T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Feb 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215240072 NPPES
Missouri MEDICAID 1215240072

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