Provider Demographics
NPI:1477664233
Name:MAREK, OLOLADE O (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLOLADE
Middle Name:O
Last Name:MAREK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:OLOLADE
Other - Middle Name:O
Other - Last Name:AKINWALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:MAIL CODE 21113A
Mailing Address - Street 2:PO BOX 1309
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-1309
Mailing Address - Country:US
Mailing Address - Phone:952-883-5151
Mailing Address - Fax:952-883-5160
Practice Address - Street 1:2165 WHITE BEAR AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109
Practice Address - Country:US
Practice Address - Phone:651-770-8828
Practice Address - Fax:651-779-1570
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN114021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice