Alonge, Olusegun K.

Alonge, Olusegun K. is an individual health care provider with primary practice located at 624 Mary Lake Dr , Bryan TX 77801-3423. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Alonge, Olusegun K. can be contacted via phone (979) 846-2500.

Contact Information

Primary practice address
624 Mary Lake Dr Bryan TX 77801-3423
Phone: (979) 846-2500
Fax: (979) 846-2530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20289 Texas
Dental Providers / General Practice 1223G0001X 20289 Texas

Profile Details

NPI number 1548243249
LBN Legal business name Alonge, Olusegun K.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jun 20th, 2011 - about 15 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 1548243249 NPPES
Texas Other 1649265646 NPI CINIC B
Texas MEDICAID 154467801 NPI CINIC B
Texas Other 1821185299 NPI CINIC B
Texas MEDICAID 154467803 NPI CINIC B
Texas Other 1275620551 NPI CINIC B
Texas Other 741715140 NPI CINIC B

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