Active NPI
Adetokunbo Olawuyi, BDS, DMSC
- Oral and Maxillofacial Pathology Dentistry
- Joplin, MO
National Provider Identifier
1063083301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 2025024708
- Practice address
- 2901 Saint Johns Blvd
Joplin, MO 64804-1598 - Phone
- (240) 714-7435
- NPI assigned
- Jul 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2025024708 | MO | Primary |
Addresses
Primary practice location
2901 Saint Johns Blvd
Joplin, MO 64804-1598
Mailing address
907 North Main Street
Webb City, MO 64870
Phone (240) 714-7435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025024708 | MO | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1063083301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 NORTH MAIN STREET",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "64870",
"telephone_number": "240-714-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SAINT JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041598",
"telephone_number": "240-714-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAWUYI",
"first_name": "ADETOKUNBO",
"name_prefix": "Dr.",
"credential": "BDS, DMSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MO",
"license": "2025024708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.