Susanna Oluwadunni Arowosegbe

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL15884 Issued in MA

Practice address

529 Timpany Blvd
Gardner, MA 01440-3451

Phone

(978) 878-8100

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Susanna Oluwadunni Olofintuyi Former name

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.

• Christian Support & Healing Ministries Inc

  • Dental Clinic/Center
  • North Adams, MA
  • NPI 1700127925
  NPD (past)
• Hillcrest Dental Care Inc

  • Dental Clinic/Center
  • North Adams, MA
  • NPI 1942649058

  General Practice

  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1972290955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 ARBORETUM WAY",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 TIMPANY BLVD",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403451",
            "telephone_number": "978-878-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Connors St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014402637",
            "country_code": "US",
            "telephone_number": "978-878-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AROWOSEGBE",
        "first_name": "SUSANNA",
        "middle_name": "OLUWADUNNI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL15618",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL15884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "OLOFINTUYI",
            "middle_name": "OLUWADUNNI",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Felix Antwi
• Harvey Apotheker, DMD
• Mark Aranson, MD
• Kyle Argo, PA-C
• Anne Marie Arlig-Camejo, LPN
• Michael James Arseneaux, BA
• Mukandu Ashema
• Aspire Healthcare Services and Staffing Agency LLC
• Barbara Aucoin
• Amy Lee Avery

• All providers in Gardner, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.