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

Last updated

Aug 17, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashton Dental PC

  dba Dentistrie

  • 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": "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"
        },
        {
            "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"
        }
    ],
    "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 (Positive Solutions Counseling Service)
• Kendra Jeans
• Anwar Antoine Jebran, MD
• Noora Jebreal
• Rebecca Wilson Jeddi, PH.D.
• Sharon Jedel, PSY.D.
• Nicole Jedrzejewski
• Faiyza Jeelani, ND
• Huma I. Jeelani, O.D.

• 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.