Active NPI
Adenike Olayinka Gbenle, DDS
- General Practice Dentistry
- Suitland, MD
National Provider Identifier
1164664405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14200
- Practice address
- 5801 Allentown Rd Ste 307
Suitland, MD 20746-4582 - Phone
- (240) 455-7842
- Fax
- (301) 202-3643
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14200 | MD | Primary |
Addresses
Primary practice location
5801 Allentown Rd Ste 307
Suitland, MD 20746-4582
Mailing address
7450 Clymert Dr
Brandywine, MD 20613
Phone (301) 888-2233
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Dental | General Practice | Current | Accepting new patients |
Locations
5801 Allentown Rd
Ste 307
Suitland, MD 20746
Phone (240) 455-7842
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1164664405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 CLYMERT DR",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "20613",
"telephone_number": "301-888-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ALLENTOWN RD STE 307",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207464582",
"telephone_number": "240-455-7842",
"fax_number": "301-202-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBENLE",
"first_name": "ADENIKE",
"middle_name": "OLAYINKA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suitland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.