Sigma Dental LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SIGMA DENTAL LLC

Practice address

1220 E Joppa Rd Ste 314
Towson, MD 21286-5811

Phone

(410) 583-7600

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Oluwole Olubunmi Fadahunsi, DMDNPI 1396123352

Title

Owner

Phone

(267) 499-0782

Specialties & licenses 1

Addresses

Other names 1

• Krupp Center, Maxillofacial, Oral & Cosmetic Surgery 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.

• Oluwole Olubunmi Fadahunsi, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Annandale, VA
  • NPI 1396123352
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1093437121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 CASTLE RIDGE CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047343",
            "telephone_number": "267-499-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E JOPPA RD STE 314",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865811",
            "telephone_number": "410-583-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "OLUWOLE",
        "authorized_official_middle_name": "OLUBUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-499-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krupp Center, Maxillofacial, Oral & Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Warner Siebert, MD, MPH
• Marc Howard Siegelbaum, MD
• Francene C Sigai, MS LCSWC
• Sightrite Medical MD LLC
• Kathryn Lynn Sigler, O.T.
• Megan Signor
• Ian Lawrence Sikora, P.T., D.P.T.
• Richard Michael Silberg, M.D.
• Caroline L Silva, LCPC
• Jared Silveira

• Oral and Maxillofacial Surgery (Dentist) in Towson, MD
• Providers in Towson, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.