Odusanwo, Olutayo A.

Odusanwo, Olutayo A. is an individual health care provider with primary practice located at 335 Prairie Ave , Providence RI 02905. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Odusanwo, Olutayo A. can be contacted via phone (401) 444-0430.

Contact Information

Primary practice address
335 Prairie Ave Providence RI 02905
Phone: (401) 444-0430
Fax: (401) 444-0489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1856580 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X DEN03469 Rhode Island

Profile Details

NPI number 1821492505
LBN Legal business name Odusanwo, Olutayo A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2014
Last updated Jul 23rd, 2019 - about 7 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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