Abimbola Oyindamola Oyeniyi, BDS, DMD, MSD,MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS042915 Issued in PA

Practice address

801 N 2ND St FRNT 2
Philadelphia, PA 19123-3090

Phone

(267) 296-1010

NPI assigned

Mar 10, 2020

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Children's Tooth Spa II, P.C.

  dba The Children's Tooth Spa

  • Pediatric Dentistry
  • Chester, PA
  • NPI 1750119194
  NPD
• Dental Centerof Northwest Ohio

  dba DCNWO Blanchard Valley Clinic

  • General Practice Dentistry
  • Findlay, OH
  • NPI 1952527376
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1649805664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CLEARPOINT PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 2ND ST FRNT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233090",
            "telephone_number": "267-296-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021701",
            "country_code": "US",
            "telephone_number": "502-852-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYENIYI",
        "first_name": "ABIMBOLA",
        "middle_name": "OYINDAMOLA",
        "name_prefix": "Dr.",
        "credential": "BDS, DMD, MSD,MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042915",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "10734",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Oyama, DVM
• Biyi Oyefule, M.D.
• Maryam Olasade Oyefusi, PA-C
• Kaya J Oyejide, MD
• Anthony Abimbade Oyekan, MD
• Tolulope Anne Oyetunde
• Feyisayo Olufunke Oyewole, FNP-BC FNP-C
• Josue M Oyola Jimenez, MSW
• Aybuke Ozari
• Khatuna Ozbetelashvili

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.