Physician Compare National (NPI:1598813172)

HEALTHCARE PROVIDER: OLUMIDE O OLAWOYE DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598813172
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072661156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090429000190
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLAWOYE
	Individual professional last name
Provider First Name	OLUMIDE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1100 WESCOTT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	FLEMINGTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088224600
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y