Oluwapelumi Aderonke Adeloye, D.M.D, MPH
Individual provider Active NPI General Practice Dentistry · Lincoln, ME
NPI 1235623307 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1235623307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN4698 (ME)
- Practice address
- 175 W Broadway
Lincoln, ME 04457-4000 - Phone
- (207) 794-6700
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621002106 | ME | Practitioner - Dentist | 0143688283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858040 | MA | MD | General Practice Dentistry |
| DEN4698 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Access Network, Inc. | Current |
Accepting new patients | |
| Health Access Network, Inc | General Practice | Current |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBFIBD
- oadeloye196805@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858040 | MA | |
| General Practice Dentistry | 1223G0001X | DEN4698 | ME | Yes |
Addresses
Primary practice location
175 W Broadway
Lincoln, ME 04457-4000
Mailing address
175 W Broadway
Lincoln, ME 04457-4000
Phone (207) 794-6700
Other practice location 1
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
Other providers in Lincoln, ME
- Katie Marie Adams
- Jean Susan Adamson
- Manoucher Afshari
- Devesh Agarwal
- Carl F Alessi
- Amy L Woodman Dba Mind in Motion Integrative Health
- Paulo R.M. Antunes
All providers in Lincoln, ME · General Practice Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.