NPIMap

Organization Active NPI

Olu Oyegunwa DDS PA

  • Dental Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1598186132
Registry record updated Dec 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9306 Issued in NC
Legal business name
OLU OYEGUNWA DDS PA
Practice address
3416 Melrose Rd
Fayetteville, NC 28304-1610
Phone
(910) 484-5141
NPI assigned
Dec 28, 2013
Last updated
Dec 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2013

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

Authorized official

Name
Dr. Olu Ayoola Oyegunwa, DDS
Title
President
Phone
(910) 484-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9306 NC Primary

Addresses

Primary practice location

3416 Melrose Rd
Fayetteville, NC 28304-1610

Mailing address

3416 Melrose Rd
Fayetteville, NC 28304-1610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388188800000",
    "number": "1598186132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041610",
            "telephone_number": "910-484-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLU OYEGUNWA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2013-12-28",
        "status": "A",
        "authorized_official_last_name": "OYEGUNWA",
        "authorized_official_first_name": "OLU",
        "authorized_official_middle_name": "AYOOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-484-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; 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.