Provider Demographics
NPI:1639418403
Name:ESHO, AYOTUNDE OLUYOMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:AYOTUNDE
Middle Name:OLUYOMI
Last Name:ESHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 SAN MIGUEL CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2253
Mailing Address - Country:US
Mailing Address - Phone:440-715-0146
Mailing Address - Fax:
Practice Address - Street 1:603 E 6TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4528
Practice Address - Country:US
Practice Address - Phone:432-332-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist