| Taiwo Osunkoya Dmd Llc | |
|
414 N 6th Street Denton MD 21629 | |
| (410) 479-9466 | |
| (410) 479-9488 |
| Full Name | Taiwo Osunkoya Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 414 N 6th Street, Denton, Maryland |
| Authorized Official Name and Position | Taiwo Mary Osunkoya (SOLO PRACTITIONER) |
| Authorized Official Contact | 4104799466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taiwo Osunkoya Dmd Llc Po Box 369 Denton MD 21629 Ph: (410) 479-9466 | Taiwo Osunkoya Dmd Llc 414 N 6th Street Denton MD 21629 Ph: (410) 479-9466 |
| NPI Number | 1568599926 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568599926 | NPI | - | NPPES |
| 0001159508 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12666 (Maryland) | Primary |
Mary C. Trahar, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Denton Plz, Denton, MD 21629 Phone: 410-280-2484 | |
Choptank Mobile Van #1 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 S 5th Ave, Denton, MD 21629 Phone: 410-479-5772 Fax: 410-479-8397 |