DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OLUTOYIN AGBELEMOSE DDS

MEDICARE: OLUTOYIN AGBELEMOSE 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
1171M00000XCase Manager/Care Coordinator
21223G0001XGeneral Practice DentistryDN123224GA
3122300000XDentistDN123224GA

General Provider Information

NPI Number : 1659796761
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUTOYIN AGBELEMOSE DDS
Provider Business Mailing Address
First Line : 790 GLENWOOD AVE SE STE 210
Second Line :
City : ATLANTA
State : GA
Zip : 30316-2024
Country : US
Telephone Number : 404-260-4767
Fax Number :
Provider Business Practice Location Address
First Line : 4458 JONESBORO RD
Second Line :
City : FOREST PARK
State : GA
Zip : 30297-4314
Country : US
Telephone Number : 470-878-3512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2014
Last Update Date : 12/18/2024

Similar Medicare Providers

1396710901 — DR. DEBRA M REDDICK D.D.S
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 470-878-3512
Practice Fax:
1942386867 — DR. AMANDA MALAYTER
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 678-904-6484
Practice Fax:
1154498145 — DR. BOBBY TERON PITTMAN JR. DDS
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 678-904-5665
Practice Fax:
1497822472 — DR. DEWAYNE S SHAW DDS
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 678-904-5665
Practice Fax:
1528126018 — DEBORAH ANN BEAL DDS
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 678-904-5665
Practice Fax:
1851190953 — DAVID JAMES SHAVER
Practice Location Address:
4458 JONESBORO RD
FOREST PARK, GA
30297-4314
Practice Phone: 470-878-3512
Practice Fax:

Directions to “ OLUTOYIN AGBELEMOSE DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.