Ajagbe, Oluwadamilola Omodele

Ajagbe, Oluwadamilola Omodele is an individual health care provider with primary practice located at 2922B Martin Luther King Jr Blvd , Dallas TX 75215-2321. 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. Ajagbe, Oluwadamilola Omodele can be contacted via phone (214) 426-3645.

Contact Information

Primary practice address
2922B Martin Luther King Jr Blvd Dallas TX 75215-2321
Phone: (214) 426-3645
Fax: (507) 424-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D13899 Minnesota
Dental Providers / General Practice 1223G0001X 34948 Texas

Profile Details

NPI number 1164945150
LBN Legal business name Ajagbe, Oluwadamilola Omodele
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2017
Last updated Mar 25th, 2020 - about 4 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 1164945150 NPPES
Minnesota Other D13899 MINNESOTA BOARD OF DENTISTRY
Minnesota Other 34948 MINNESOTA BOARD OF DENTISTRY

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