Healthcare Provider Details

I. General information

NPI: 1417814930
Provider Name (Legal Business Name): O2 DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 4TH AVE N
FRANKLIN TN
37064-2681
US

IV. Provider business mailing address

267 CATHY JO DR
NASHVILLE TN
37211-3814
US

V. Phone/Fax

Practice location:
  • Phone: 615-474-1294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLAWALE OSINUSI
Title or Position: DENTIST
Credential: DDS
Phone: 615-474-1294