DR. OLADIMEJI OGBARA D.D.S NPI 1518128636

NPI Information

NPI: 1518128636
Provider Name: DR. OLADIMEJI OGBARA, D.D.S
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3302 GROVE AVE
BERWYN, IL
ZIP 60402
Phone: (773) 542-1916
Get Directions

DR. Oladimeji Ogbara, D.D.S is a general practice dentist in Berwyn, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Oladimeji Ogbara, D.D.S NPI is 1518128636. 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:

3302 GROVE AVE
BERWYN, IL
ZIP 60402-421
Phone: (773) 542-1916
Fax: (773) 542-1910

The enumeration date for this NPI number is 6/20/2008 and was last updated on 12/14/2022.

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
1	1223G0001X	Dentist	General Practice	019027697	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019027697	OTHER	ILLINOIS	INSURANCE PROVIDERS
2	019027697	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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