Provider Demographics
NPI:1770004491
Name:ADESOJI, SHOLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHOLA
Middle Name:
Last Name:ADESOJI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SHOLA
Other - Middle Name:
Other - Last Name:ADESOJI-STOKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1439 COPELAND AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-2565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6063 PEACHTREE PKWY STE 201B
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3340
Practice Address - Country:US
Practice Address - Phone:770-448-4118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist