Omua Patricia Angole LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OMUA PATRICIA ANGOLE LLC

Doing business as

Wynn Dental Wellness

Practice address

7501 Greenway Center Dr Ste 260
Greenbelt, MD 20770-3548

Phone

(240) 553-7291

NPI assigned

Jul 21, 2022

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omua Patricia Angole, DDSNPI 1063810562

Title

Owner

Phone

(301) 310-5034

Specialties & licenses 1

Addresses

Other names 1

• Wynn Dental Wellness Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omua Angole, DDS

  • General Practice Dentistry
  • Washington, DC
  • NPI 1063810562
  NPD Authorized official
• Claudia Ardyce Maitland, D.D.S.

  • Dentist
  • Greenbelt, MD
  • NPI 1649496621
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1750016887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BELCREST RD APT 1031",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822972",
            "telephone_number": "301-310-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 260",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703548",
            "telephone_number": "240-553-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMUA PATRICIA ANGOLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ANGOLE",
        "authorized_official_first_name": "OMUA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-310-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynn Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wynn Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oluremi T Ilupeju MD PA (Setif, Inc)
• Omega Family Clinic
• Osaremen Bisola Omorodion
• Ibilola Omotosho
• Idowu Emmanuel Omotosho
• Vitalis Onekon
• Fehintola Oni, DPT
• Olumuyiwa Onibatedo, MD
• Ijeoma Onuoha
• Theodora Onwuanishia

• Dentist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.