Olutayo A. Odusanwo, DMD is a pediatric dentistry dentist in Providence, RI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Olutayo A. Odusanwo, DMD NPI is 1821492505. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
335 PRAIRIE AVE
PROVIDENCE, RI
ZIP 02905
Phone: (401) 444-0430
Fax: (401) 444-0489
The NPI 1821492505 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).
The enumeration date for this NPI number is 10/9/2014 and was last updated on 7/23/2019.