Provider Demographics
NPI:1245756428
Name:AJANAKU, OLAKUNLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLAKUNLE
Middle Name:
Last Name:AJANAKU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:KUNLE
Other - Middle Name:
Other - Last Name:AJANAKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:4818 E 113TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4818 EAST 113TH PLACE SOUTH
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-640-2857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist