Oluwadara Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLUWADARA DENTAL CORPORATION

Practice address

9612 Foothill Blvd Ste 100&105
Rancho Cucamonga, CA 91730-3547

Phone

(909) 939-5569

Fax

(210) 579-6484

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Oluwadayo O Oluwadara, DDSNPI 1184911240

Title

President

Phone

(310) 954-6377

Specialties & licenses 1

Addresses

Other names 1

• TRINITY DENTAL Doing business as

Locations

Practitioners 1

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

• Oluwadayo O Oluwadara, MS, PHD, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1184911240
  NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1013524461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 FOOTHILL BLVD STE 100&105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303547",
            "telephone_number": "909-939-5569",
            "fax_number": "210-579-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 FOOTHILL BLVD STE 100&105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303547",
            "telephone_number": "909-939-5569",
            "fax_number": "210-579-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUWADARA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "OLUWADARA",
        "authorized_official_first_name": "OLUWADAYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-954-6377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Gail Olson
• Kenneth A Olson, M.A., M.F.T.
• Maria Olson
• Nicole Cheri Olson, LEP
• Will Wayne Olson
• Oluwadayo O Oluwadara, MS, PHD, DDS
• Onc Mental Health Inc
• One Asterisk Consulting, Inc
• One Source Healing, Inc.
• One Stop Multi-Specialty Medical Group & Therapy, Inc.

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.