Healthcare Provider Details

I. General information

NPI: 1447946249
Provider Name (Legal Business Name): OLUWAWEMIMO AFOLABI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 SPRING STUEBNER RD STE 700
SPRING TX
77389-5197
US

IV. Provider business mailing address

26003 JUNIPER STONE LN
KATY TX
77494-2615
US

V. Phone/Fax

Practice location:
  • Phone: 128-179-1004
  • Fax:
Mailing address:
  • Phone: 713-876-4328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number42613
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: