Organization Active NPI

FHL Dental LLC

  • General Practice Dentistry
  • Rolla, MO
National Provider Identifier
1508771361
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FHL DENTAL LLC
Practice address
713 Salem Ave
Rolla, MO 65401-3466
Phone
(573) 368-7325
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Dr. Oluwadamilola Adetayo, DMD
Title
Dr
Phone
(347) 357-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

713 Salem Ave
Rolla, MO 65401-3466

Mailing address

713 Salem Ave
Rolla, MO 65401-3466
Phone (573) 368-7325

Other practice location 1

1116 S Main St
Salem, MO 65560-2408
Phone (573) 729-7701

National Provider Directory

National Provider Directory

Locations

713 Salem Ave
Rolla, MO 65401

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1508771361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SALEM AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013466",
            "telephone_number": "573-368-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 SALEM AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013466",
            "telephone_number": "573-368-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655602408",
            "country_code": "US",
            "telephone_number": "573-729-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FHL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "ADETAYO",
        "authorized_official_first_name": "OLUWADAMILOLA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "347-357-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.