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DR. OLUWOLE OLUBUNMI FADAHUNSI DMD NPI 1396123352


NPI Information

NPI: 1396123352
Provider Name: DR. OLUWOLE OLUBUNMI FADAHUNSI, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
7611 LITTLE RIVER TPKE STE 101E
ANNANDALE, VA
ZIP 22003
Phone: (703) 634-4195
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DR. Oluwole Olubunmi Fadahunsi, DMD is an oral and maxillofacial surgery dentist in Annandale, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Oluwole Olubunmi Fadahunsi, DMD NPI is 1396123352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7611 LITTLE RIVER TPKE STE 101E
ANNANDALE, VA
ZIP 22003-630
Phone: (703) 634-4195

The NPI 1396123352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 9/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery16193MARYLANDNo
21223S0112XDentistOral and Maxillofacial SurgeryDEN1001975DISTRICT OF COLUMBIANo
31223S0112XDentistOral and Maxillofacial Surgery2019016472MISSOURINo
41223S0112XDentistOral and Maxillofacial Surgery19032524ILLINOISNo
51223S0112XDentistOral and Maxillofacial Surgery0401416435VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.