MEDICARE: TOYIN ABIMBOLA DDS PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1609665637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOYIN ABIMBOLA DDS PLLC

Provider Business Mailing Address
First Line	:	1189 RUSSET LN
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-8517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 FAYETTEVILLE RD STE 120
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-3602
Country	:	US
Telephone Number	:	919-322-8421
Fax Number	:

Authorized Official
Title or Position	:	DR/OWNER
Name	:	DR. TOYIN ADESEYE ABIMBOLA
Credential	:	DDS
Telephone Number	:	919-322-8421

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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