Shebah Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

27453 Issued in TX

Legal business name

SHEBAH DENTAL PLLC

Practice address

9160 FM 78
Converse, TX 78109-2039

Phone

(210) 998-3013

Fax

(210) 579-6484

NPI assigned

May 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Oluwadayo O Oluwadara, DDSNPI 1184911240

Title

Owner

Phone

(310) 954-6377

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwadayo O Oluwadara, MS, PHD, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1184911240
  NPD Authorized official

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1629414941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 FM 78",
            "address_2": "SUITE 1B",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092039",
            "telephone_number": "210-998-3013",
            "fax_number": "210-579-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 FM 78",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092039",
            "telephone_number": "210-998-3013",
            "fax_number": "210-579-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBAH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "OLUWADARA",
        "authorized_official_first_name": "OLUWADAYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-954-6377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Sayre, M.S., LPC
• Michelle Scarboro, LVN
• Tori Lynn Scholze
• Dustin W Schwab
• Ruth Sharp, LVN
• Reagan Shelton
• Simply Patient LLC
• Lavern Smith-Jones
• Carolyn Smith, LPC
• La-Kee Smith

• Dentist in Converse, TX
• Providers in Converse, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.