Provider Demographics
NPI:1407055668
Name:SOLARIN, OLUWATOYIN BASIRAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLUWATOYIN
Middle Name:BASIRAT
Last Name:SOLARIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 BRASS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1042
Mailing Address - Country:US
Mailing Address - Phone:404-455-5770
Mailing Address - Fax:
Practice Address - Street 1:3048 BRASS DR
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1042
Practice Address - Country:US
Practice Address - Phone:404-455-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0135981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice