Active NPI
FHL Dental LLC
- General Practice Dentistry
- Rolla, MO
National Provider Identifier
1508771361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.