Dr. Moyosoreoluwa Adesoji Oyebolu, DMD
Dentist, General Practice in Christiansted, VI. Individual provider (NPI-1).
NPI number1982257325
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1982257325
- Entity type
- Individual (NPI-1)
- Name
- Dr. Moyosoreoluwa Adesoji Oyebolu
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2019
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2838 | VI | Yes |
| 1223G0001X | Dentist, General Practice | 019033538 | IL |
Practice location
4031 Estate La Grande Princesse Ste 33Christiansted, VI 00820-5213
Phone 340-692-9770
Mailing address
3111 S Omar AveTampa, FL 33629-7535
Phone 813-504-2527
Other practice locations
12200 Western Ave Ste 108
Blue Island, IL 60406-1493
Blue Island, IL 60406-1493
Phone 708-385-3700
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