DR. OLUWASEGUN OLUWAFISAYO OLABODE (NPI# 1871850057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871850057 |
| Entity Type | Individual |
| Full Name | DR. OLUWASEGUN OLUWAFISAYO OLABODE |
| Credential | D.D.S., M.D. |
| Practice Address |
16000 Park Valley Dr Ste 160 Round Rock TX 78681-4009 |
| Mailing Address |
16000 Park Valley Dr Ste 160 Austin TX 78681-4009 |
| Practice Telephone | 5126510444 |
| Mailing Telephone | 5126510444 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
34264 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4400-1 E Central Texas Expy Ste B, Killeen, TX 765437309 | 2546997855 |
| Street Address |
16000 PARK VALLEY DR STE 160 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679796270 | Robert J Naples | Dentist | 1950 Round Rock Ave, Round Rock, TX 78681-4014 | 2007-04-11 |
| 1003981721 | William M. Wyatt | Dentist | 117 Louis Henna Blvd, Suite B-230, Round Rock, TX 78664-7343 | 2006-11-21 |
| 1114477353 | Carus Dental | Dentist | 16000 Park Valley Dr, Suite 160, Round Rock, TX 78681-4008 | 2016-10-12 |
| 1215361654 | Robert J. Naples, Dds Pa | Dentist | 1950 Round Rock Ave, Round Rock, TX 78681-4014 | 2013-08-21 |
| 1932431483 | Burchard Enterprises, Pa | Dentist | 7200 Wyoming Spgs, Suite 900, Round Rock, TX 78681-4303 | 2010-02-09 |
| 1326181330 | Mark Burchard | Dentist | 7200 Wyoming Spgs, Suite 900, Round Rock, TX 78681-4303 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
Please comment or provide details below to improve the information on DR. OLUWASEGUN OLUWAFISAYO OLABODE.
| 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.