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1821586553 NPI number — OLULEYE DENTAL ASSOCIATES PLLC

NPI Number: 1821586553
Health Care Provider/Practitioner: OLULEYE DENTAL ASSOCIATES PLLC

Information about “1821586553” NPI (OLULEYE DENTAL ASSOCIATES PLLC) exists in 1821586553 in HTML format HTML  |  1821586553 in plain Text format TXT  |  1821586553 in PDF (Portable Document Format) PDF  |  1821586553 in an XML format XML  formats.

NPI Number : 1821586553 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821586553",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "OLULEYE DENTAL ASSOCIATES PLLC",
    "ParentOrgTIN": null,
    "OrgName": "OLULEYE DENTAL ASSOCIATES PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1712 I STREET NW",
    "SecondLineMailingAddress": "SUITE#812",
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20006-3739",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-223-3536",
    "MailingAddressFaxNumber": "202-223-3559",
    "FirstLinePracticeLocationAddress": "1712 I ST NW STE 812",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20006-3739",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-223-3556",
    "PracticeLocationAddressFaxNumber": "202-223-3559",
    "EnumerationDate": "04/27/2018",
    "LastUpdateDate": "03/14/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAMOS",
    "AuthorizedOfficialFirstName": "LILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "202-223-3536",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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