Olayinka Catherine Adekugbe, DMD
Individual provider Active NPI General Practice Dentistry · Canton, NY
NPI 1558044776 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1558044776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 065204 (NY)
- Practice address
- 4 Commerce Lane, Canton, Ny 13617
Canton, NY 13617 - Phone
- (315) 386-8191
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065204 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 065204 | NY | Yes |
Addresses
Primary practice location
4 Commerce Lane, Canton, Ny 13617
Canton, NY 13617
Mailing address
4 Commerce Lane, Canton, Ny 13617
Canton, NY 13617
Phone (315) 386-8191
Other providers in Canton, NY
All providers in Canton, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.