Provider Demographics
NPI:1073723516
Name:AKANDE, ADENIYI OLAYINKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADENIYI
Middle Name:OLAYINKA
Last Name:AKANDE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 E ASHLAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-2021
Mailing Address - Country:US
Mailing Address - Phone:559-228-3000
Mailing Address - Fax:559-228-3322
Practice Address - Street 1:1902 E ASHLAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-2021
Practice Address - Country:US
Practice Address - Phone:559-228-3000
Practice Address - Fax:559-228-3322
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist