DR. BOLAJI OLUSOLA OGUNDARE


Address: 530 1st Ave, Suite 9qq, New York, NY 10016-6402
Phone: 2122635677

DR. BOLAJI OLUSOLA OGUNDARE (NPI# 1831170042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831170042
Entity Type Individual
Full Name DR. BOLAJI OLUSOLA OGUNDARE
Credential DDS
Practice Address 530 1st Ave
Suite 9qq
New York
NY 10016-6402
Mailing Address 550 1st Ave
Suite 9qq
New York
NY 10016-6402
Practice Telephone 2122635677
Practice Fax Number 2122636931
Mailing Telephone 2122635677
Mailing Fax Number 2122636931
Enumeration Date 2005-11-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
048685-1 NY Dental Providers

Office Location

Street Address 530 1ST AVE
SUITE 9QQ
City NEW YORK
State NY
Zip Code 10016-6402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154327732 Leonard Plaine Urology 530 1st Ave, Ste 3d, New York, NY 10016-6402 2005-06-28
1124639950 Patricio Millar Vernetti Student in an Organized Health Care Education/Training Program 530 1st Ave, New York, NY 10016-6402 2020-08-14
1780217505 Melissa Alazraki Dietitian, Registered 530 1st Ave, New York, NY 10016-6402 2020-02-20
1760960199 Deborah Wu-cohen Nurse Practitioner 530 1st Ave, New York, NY 10016-6402 2018-07-28
1720575046 Sarah Riggio Nurse Practitioner 530 1st Ave, Skirball Suite 9n, New York, NY 10016-1001 2018-04-23
1891208666 Melissa Selesky Nurse Practitioner 530 1st Ave, New York, NY 10016-6402 2017-11-14
1326550013 Denise Tarantino Nurse Practitioner 530 1st Ave, New York, NY 10016-6402 2017-11-02
1174033468 Courtney R Albert Nurse Practitioner 530 1st Ave, New York, NY 10016-6402 2017-10-02
1609309210 Lisa Ganguzza Dietitian, Registered 530 1st Ave, Suite 4f, New York, NY 10016-6402 2017-04-10
1003359944 Hilda Nkansah Nurse Practitioner 530 1st Ave, Suite 10q, New York, NY 10016-6402 2016-11-27
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1104477504 Jaclyn A. Silverman Nurse Practitioner 113 East 39th Street, New York, NY 10016 2019-09-26
1093376147 Eskue Therapy, LLC Massage Therapist 130 East 40 Street, Ste. 1001, New York, NY 10016 2019-06-27
1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
1265096754 Sharon Brenda Madanes Student in an Organized Health Care Education/Training Program Nyu Langone, 550 First Ave., New York, NY 10016 2019-04-30
1124589569 Krupali Chokshi Student in an Organized Health Care Education/Training Program Nyu Langone Hospital, 550 First Ave., New York, NY 10016 2019-03-28
1982160909 Sherell Miriam Harding Behavioral Analyst 204 35th St, New York, NY 10016 2019-02-14
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053921643 Upper West Side Oral & Maxillofacial Surgery Dentist 140 W 69th St Ph 1g, New York, NY 10023-5173 2020-08-07
1467092965 Nyc Implant and Oral Surgery PC Dentist 30 E 60th St Ste 907, New York, NY 10022-1058 2020-01-13
1205344819 Ray Cheng Dds Dentist 217 Park Row Ste 4b, New York, NY 10038-1101 2018-01-17
1235541038 Azaz Awan Dentist 335 Malcolm X Blvd, New York, NY 10027-3703 2014-05-28
1699196329 Majid Jamali, Dmd, P.C. Dentist 42 Broadway Ste 1501, New York, NY 10004-1617 2013-12-24
1518268739 Abdul Basit Karim Dentist 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 2010-11-04
1134356157 Anayo Obi Adachie Dentist 10 Union Sq E Ste 5b, New York, NY 10003-3314 2009-06-17
1598991044 Leslie Abraham Dentist 200 E 57th St, Apt 5j, New York, NY 10022-2860 2009-06-10
1316173537 Jennifer Frangos Dentist 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 2009-06-02
1821223041 Marcello Guglielmi Dentist 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 2009-05-18
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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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