Olufemi a. Oguntolu DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19363 Issued in MA

Legal business name

OLUFEMI A. OGUNTOLU DMD PC

Doing business as

Cedarwood Dental PC

Practice address

252 Squire Rd
Revere, MA 02151-4311

Phone

(781) 286-1620

Fax

(781) 289-7901

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Olufemi A Oguntolu, DMDNPI 1891873899

Title

Director

Phone

(781) 286-1620

Specialties & licenses 1

Addresses

Other names 1

• Cedarwood Dental PC Doing business as

Locations

Practitioners 1

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

• Olufemi A Oguntolu, D.M.D.

  • Dentist
  • Revere, MA
  • NPI 1891873899
  NPD (past) Authorized official

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1841468162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514311",
            "telephone_number": "781-286-1620",
            "fax_number": "781-289-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SQUIRE RD",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514311",
            "telephone_number": "781-286-1620",
            "fax_number": "781-289-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUFEMI A. OGUNTOLU DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "OGUNTOLU",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-286-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedarwood Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olufemi A Oguntolu, D.M.D.
• Jacqueline Atieno Oguok
• Kerstin Amy Oh, MD
• Miriam Nelson Oliver, MSW, LICSW, LMT
• Laura J Olson, MD
• Olufunke Osineye, DMD, LLC
• Ashley Ortiz
• Osilama Osime, MS
• Magdi H Osman, M.D.
• Sarom Ouch, RN

• General Practice Dentistry in Revere, MA
• Providers in Revere, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.