Organization Active NPI

Adefunmilola Tinuade Oriola Dental Corporation

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1003015629
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51834 Issued in CA
Legal business name
ADEFUNMILOLA TINUADE ORIOLA DENTAL CORPORATION
Practice address
1909 N Waterman Ave
Suite 4
San Bernardino, CA 92404-4842
Phone
(909) 881-7231
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adefunmilola Oriola, DDSNPI 1922086057
Title
President
Phone
(909) 881-7231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 51834 CA Primary

Addresses

Primary practice location

1909 N Waterman Ave
Suite 4
San Bernardino, CA 92404-4842

Mailing address

1909 N Waterman Ave
Suite 4
San Bernardino, CA 92404-4842

National Provider Directory

National Provider Directory

Locations

1909 N Waterman Ave
Ste 4
San Bernardino, CA 92404
Phone (909) 881-7231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1003015629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE",
            "address_2": "SUITE 4",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE",
            "address_2": "SUITE 4",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842",
            "telephone_number": "909-881-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEFUNMILOLA TINUADE ORIOLA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "ORIOLA",
        "authorized_official_first_name": "ADEFUNMILOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-881-7231",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.