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NPI Code Detail

MEDICARE: KEHINDE TOYIN AJAYI DDS

MEDICARE:   KEHINDE TOYIN AJAYI  DDS
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
11223G0001XGeneral Practice DentistryDGD8771GDSC

General Provider Information

NPI Number : 1457691255
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEHINDE TOYIN AJAYI DDS
Provider Business Mailing Address
First Line : 6512 MANITOBA LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-3466
Country : US
Telephone Number : 347-339-2635
Fax Number :
Provider Business Practice Location Address
First Line : 1417 RIVERCHASE BLVD STE 104
Second Line :
City : ROCK HILL
State : SC
Zip : 29732
Country : US
Telephone Number : 803-327-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2013
Last Update Date : 08/03/2018

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Directions to “ KEHINDE TOYIN AJAYI DDS” Practice Location

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