Provider Demographics
NPI:1477605053
Name:ADEWUNMI, MOPELOLA ADEJOKE (DMD MPH)
Entity Type:Individual
Prefix:DR
First Name:MOPELOLA
Middle Name:ADEJOKE
Last Name:ADEWUNMI
Suffix:
Gender:F
Credentials:DMD MPH
Other - Prefix:DR
Other - First Name:MOPELOLA
Other - Middle Name:ADEJOKE
Other - Last Name:ADEWUNMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:6350 76TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3152
Mailing Address - Country:US
Mailing Address - Phone:727-547-7780
Mailing Address - Fax:727-549-6440
Practice Address - Street 1:6350 76TH AVE N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3152
Practice Address - Country:US
Practice Address - Phone:727-547-7780
Practice Address - Fax:727-549-6440
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 16260122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist