Healthcare Provider Details

I. General information

NPI: 1619438652
Provider Name (Legal Business Name): ANGEL KEHINDE ADEBISI OGBEIDE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 10/19/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8944 COLUMBIA RD
LOVELAND OH
45140-1121
US

IV. Provider business mailing address

PO BOX 5416
EDMOND OK
73083-5416
US

V. Phone/Fax

Practice location:
  • Phone: 513-774-8800
  • Fax:
Mailing address:
  • Phone: 405-996-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.026259
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7619
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: