Provider Demographics
NPI:1598813172
Name:OLAWOYE, OLUMIDE O (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLUMIDE
Middle Name:O
Last Name:OLAWOYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1100 WESCOTT DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4600
Mailing Address - Country:US
Mailing Address - Phone:908-788-6475
Mailing Address - Fax:908-788-6604
Practice Address - Street 1:1100 WESCOTT DR
Practice Address - Street 2:SUITE 108
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4600
Practice Address - Country:US
Practice Address - Phone:908-788-6475
Practice Address - Fax:908-788-6604
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2008-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI023061001223S0112X
PADS0367031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery