Zainab Temitope Adesanya, D.M.D
Individual provider Active NPI Dentist · New Albany, OH
NPI 1891135802 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1891135802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30024152 (OH)
- Practice address
- 5040 Forest Dr Ste 220
New Albany, OH 43054-8167 - Phone
- (614) 808-3688
- Fax
- (614) 808-3647
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150415001688 | OH | Order and Referring Only - Dentist |
7012235427 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30024152 | OH | MD | Dentist |
| RES.3344 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Zainab Temitope Adesanya, DMD, LLC | Current |
Accepting new patients |
Locations
5040 Forest Dr
Ste 220
New Albany, OH 43054
Phone (614) 427-3266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RES.3344 | OH | |
| Dentist | 122300000X | 30024152 | OH | Yes |
Addresses
Primary practice location
5040 Forest Dr Ste 220
New Albany, OH 43054-8167
Mailing address
5040 Forest Dr Ste 220
New Albany, OH 43054-8167
Phone (614) 808-3688
Other practice location 1
716 Adair Ave
Zanesville, OH 43701
Phone (740) 891-9000
Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.