Otun, Adegbenga O
Otun, Adegbenga O is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Otun, Adegbenga O can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 27472 | Texas |
Profile Details
| NPI number | 1356706477 |
|---|---|
| LBN Legal business name | Otun, Adegbenga O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2015 |
| Last updated | Jun 13th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356706477 | NPPES |
| Texas | MEDICAID | 356786901 |
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