| Olutayo A Odusanwo, DMD | |
|
335 Prairie Ave, Providence, RI 02905 | |
| (401) 444-0430 | |
| (401) 444-0489 |
| Full Name | Olutayo A Odusanwo |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 335 Prairie Ave, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821492505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856580 (Massachusetts) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DEN03469 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Olutayo A Odusanwo, DMD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 | Olutayo A Odusanwo, DMD 335 Prairie Ave, Providence, RI 02905 Ph: (401) 444-0430 |
Jairahadeep Singh, Dentist Medicare: Medicare Enrolled Practice Location: 335r Prairie Ave, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Christine Marie Ramalho, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Joseph Samuels Dental Center At Rih, Providence, RI 02903 Phone: 401-444-7195 Fax: 401-444-3494 | |
David Ira Konicov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 189 Governor St, Suite 201, Providence, RI 02906 Phone: 401-421-1457 | |
Sweta Thakur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 335r Prairie Avenue, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Dr. Michael C Furia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 3d, Providence, RI 02907 Phone: 401-941-3353 Fax: 401-461-6558 | |
Dr. Alan Pan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Bridge St, Corliss Landing, Providence, RI 02903 Phone: 401-861-5600 Fax: 401-861-5603 | |
Elliot Chiu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, St. Joseph Pedi. Dental, Providence, RI 02907 Phone: 401-456-4441 Fax: 401-456-4089 |