Ogorchukwu Olele

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5188 Issued in ME

Practice address

122 Academy St
Presque Isle, ME 04769-3005

Phone

(075) 545-0452

Fax

(207) 554-5045

NPI assigned

Apr 11, 2017

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aroostook Dental Clinic, Inc.

  • Dental Clinic/Center
  • Presque Isle, ME
  • NPI 1427321728
  NPD

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1356874994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693005",
            "telephone_number": "207-554-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693005",
            "telephone_number": "075-545-0452",
            "fax_number": "207-554-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLELE",
        "first_name": "OGORCHUKWU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "5188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Maine Speech Language Pathology Services, Inc.
• Northern Physical Therapy & Rehab Services LLC
• Northern Prosthetics
• Northern Radiological Associates
• Olurotimi Odimayo, DMD
• Vicky Leah Ouellette-Sperrey, FNP-C
• Arlene S. Ouellette, MHRT-CSP
• Rebecca Palmer-Bugbee
• Brooke M Parady
• Travis Aaron Parent, MS, ATC, PES, CES

• Pediatric Dentistry in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.