Jegede, Abisola

Jegede, Abisola is an individual health care provider with primary practice located at 919 E Jefferson Blvd Ste 100 , South Bend IN 46617-3112. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Jegede, Abisola can be contacted via phone (574) 245-7504.

Contact Information

Primary practice address
919 E Jefferson Blvd Ste 100 South Bend IN 46617-3112
Phone: (574) 245-7504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7109 Louisiana
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12014860A Indiana

Profile Details

NPI number 1962029934
LBN Legal business name Jegede, Abisola
Credentials DMD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Aug 20th, 2025 - about last year

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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