Ismail Adeyemi Jolaoso, D.D.S., M.P.H

Primary specialty

DentistTaxonomy code 122300000X

License

0401414551 Issued in VA

Practice address

1165 E Atlantic St
South Hill, VA 23970-9547

Phone

(434) 447-2492

Fax

(434) 447-2873

NPI assigned

Jun 27, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1376983908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239709547",
            "telephone_number": "434-447-2492",
            "fax_number": "434-447-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239709547",
            "telephone_number": "434-447-2492",
            "fax_number": "434-447-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLAOSO",
        "first_name": "ISMAIL",
        "middle_name": "ADEYEMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "0401414551",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Johnston, COTA
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• Niya Jones, MD
• Taylor H Jones
• Joseph Acka

• Dentist in South Hill, VA
• Providers in South Hill, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.