Folarin Odusola, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18553 Issued in NJ

Practice address

325 Main St
West Orange, NJ 07052-5703

Phone

(973) 731-8160

Fax

(973) 731-9160

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093869935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525703",
            "telephone_number": "973-731-8160",
            "fax_number": "973-731-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525703",
            "telephone_number": "973-731-8160",
            "fax_number": "973-731-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUSOLA",
        "first_name": "FOLARIN",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18553",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kevin O'Connor, M.D.
• Joyce T O'Shea, APN, CNS
• Paul Obasuyi, OD
• Nneoma Sandra Odoemena, RPH
• Karen Odoemene
• Ofmeme
• Folasade Oguntola
• Leora Ohevshalom, OTR/L
• Sean Olaso, DPT,PT
• Mimi Oliff, PA-C

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.