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General NPI Number Information
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NPI Number | 1417814930
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Entity Type | Organization
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Legal Business Name | O2 DENTAL PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 143 4TH AVE N
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City | FRANKLIN
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State | TN
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Zip | 37064-2681
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Country | US
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Telephone | 615-474-1294
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Fax |
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Provider Business Mailing Address
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Address Line | 267 CATHY JO DR
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City | NASHVILLE
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State | TN
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Zip | 37211-3814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | OLAWALE OSINUSI
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Credential | DDS
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Telephone | 615-474-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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