Waheed Olaleye Awotoye, DDS
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Iowa City, IA
NPI 1942902432 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1942902432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- RES-30650 (IA)
- Practice address
- 801 Newton Rd
Iowa City, IA 52242-1001 - Phone
- (319) 335-7440
- Fax
- (319) 335-7451
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES-30650 | IA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | RES-30650 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RES-30650 | IA | Yes |
Addresses
Primary practice location
801 Newton Rd
Iowa City, IA 52242-1001
Mailing address
322 Dental Science BLDG S
Iowa City, IA 52242-1001
Phone (319) 335-7440
Other practice location 1
625 Emerald St Apt B22
Iowa City, IA 52246-3020
Phone (319) 333-4169
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All providers in Iowa City, IA · Student in an Organized Health Care Education/Training Program in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.