Kehinde Adetoro Ogundele, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22261 Issued in FL

Practice address

4124 University Blvd S
Jacksonville, FL 32216-4317

Phone

(904) 733-3763

Fax

(904) 733-9783

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1174829576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CITY AVE",
            "address_2": "APT# 502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311239",
            "telephone_number": "818-675-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164317",
            "telephone_number": "904-733-3763",
            "fax_number": "904-733-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDELE",
        "first_name": "KEHINDE",
        "middle_name": "ADETORO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Oglesby, PHARMD
• Jessica Grace Oglesby
• Lashonda Oglesby, C.N.A.
• Melena Ogletree
• Victor Ochieng Ogondi, RN
• Olushola Ogunlari, MD
• John Saejin Oh, MD
• Mary Joyce Ohalloran, PA
• Robin Kay Ohar, PMHNP
• Patricia Lee Ohaver, LMHC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.