Safuratu Yetunde Aranmolate, DDS
Individual provider Active NPI Pediatric Dentistry · Wooster, OH
NPI 1104816016 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1104816016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 21981 (OH)
- Practice address
- 3582 Cleveland Rd
Wooster, OH 44691 - Phone
- (330) 601-1543
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21981 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton Pediatric Dental Center, LLC | Current | Accepting new patients | |
| Canton Pediatric Dental Center | Pediatric Dentistry | Current |
Accepting new patients |
Locations
3934 Everhard Rd NW
Canton, OH 44709
Phone (330) 994-0205
3582 Cleveland Rd
Wooster, OH 44691
Phone (330) 601-1543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 21981 | OH | Yes |
Addresses
Primary practice location
3582 Cleveland Rd
Wooster, OH 44691
Mailing address
3934 Everhard Rd NW
Canton, OH 44709-4005
Phone (216) 692-2728
Other practice location 1
3934 Everhard Rd NW
Canton, OH 44709-4005
Phone (330) 994-0205
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.