Oluwafisayo Jebutu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034360 Issued in IL

Practice address

328 N Desplaines St
Chicago, IL 60661-1106

Phone

(312) 796-6209

NPI assigned

Mar 6, 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

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.

• Ashton Dental PC

  • Dentist
  • Chicago, IL
  • NPI 1982473492
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1992405385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N PROSPECT AVE STE 1",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221411",
            "telephone_number": "217-408-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611106",
            "telephone_number": "312-796-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3302 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462013",
            "country_code": "US",
            "telephone_number": "214-828-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 N Prospect Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618221411",
            "country_code": "US",
            "telephone_number": "217-408-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14403 S Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Homer Glen",
            "state": "IL",
            "postal_code": "604917881",
            "country_code": "US",
            "telephone_number": "708-966-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEBUTU",
        "first_name": "OLUWAFISAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jean, M.A
• Jeannine Harris Counseling Services, LLC
• Kendra Jeans
• Anwar Antoine Jebran, MD
• Noora Jebreal
• Rebecca Wilson Jeddi, PH.D.
• Sharon Jedel, PSY.D.
• Nicole Jedrzejewski
• Huma I. Jeelani, O.D.
• Valluvan Jeevanandam

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.