Temitayo Akinyemi, DDS

Individual provider Active NPI Pediatric Dentistry · Carson, CA

NPI 1366132292 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1366132292
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
108750 (CA)
Practice address
20930 Bonita St Ste Y
Carson, CA 90746-3613
Phone
(310) 327-7969
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

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
108750CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenise N. Yarber D.D.S , Professional Dental Corporation Pediatric Dentistry Past
since Jul 16, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 108750 CA Yes

Addresses

Primary practice location

20930 Bonita St Ste Y
Carson, CA 90746-3613

Mailing address

3753 Tibbetts St
Riverside, CA 92506-2606

Other providers in Carson, CA

All providers in Carson, CA · Pediatric Dentistry in California

Sources for this page

Verify at the official NPI Registry.