Ebunoluwa Boluwatife Olayemi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

18254 Issued in MD

Practice address

2103 W Patapsco Ave
Baltimore, MD 21230-2946

Phone

(410) 888-4000

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• E Olayemi DMD LLC

  • Dental Clinic/Center
  • Edgewood, MD
  • NPI 1245105063
  NPD Authorized official
• Healthy Dental of Baltimore LLC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1528626447
  NPD (past)

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1922836725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 TREEVIEW CT APT C",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142200",
            "telephone_number": "267-945-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 W PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302946",
            "telephone_number": "410-888-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYEMI",
        "first_name": "EBUNOLUWA",
        "middle_name": "BOLUWATIFE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ademola A Olatoye
• Emmanuel Olatunji-Audu
• Jinaki Olatunji
• Edward Olaughlin, MD
• Omobolanle Olawoyin
• Christiana Oluwakemi Olayera-Akinboye, NP
• Opeoluwa Tolulope Olayinka, M.D
• Sijuwade Oluwatosin Olayiwola
• David W Oldach, M.D.
• Allison L Oldfield, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.