MEDICARE: DR. OZLEM TULUNOGLU DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	0401419058	VA

General Provider Information

NPI Number	:	1265826572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OZLEM TULUNOGLU DMD

Provider Business Mailing Address
First Line	:	4408 DOMINION FOREST CIR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-3332
Country	:	US
Telephone Number	:	216-744-5884
Fax Number	:

Provider Business Practice Location Address
First Line	:	4408 DOMINION FOREST CIR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-3332
Country	:	US
Telephone Number	:	216-744-5884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	01/31/2026

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