NPIMap

Olugbenga A Akinsanya, DDS

Individual provider Active NPI General Practice Dentistry · Waterville, ME

NPI 1154586006 · NPPES record last updated Jun 27, 2013

Key facts

NPI
1154586006
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4077 (ME)
Practice address
185 Main St
Waterville, ME 04901-6625
Phone
(207) 415-1296
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4077MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Dental Education Inc Current Accepting new patients

Locations

185 Main St
Waterville, ME 04901
Phone (207) 415-1296

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4077 ME Yes
General Practice Dentistry 1223G0001X 9952 CT

Addresses

Primary practice location

185 Main St
Waterville, ME 04901-6625

Mailing address

185 Main St
Waterville, ME 04901-6625
Phone (207) 415-1296

Other providers in Waterville, ME

All providers in Waterville, ME · General Practice Dentistry in Maine

Sources for this page

Verify at the official NPI Registry.