Provider Demographics
NPI:1851389050
Name:FALEYE, ADEOLA OLUBUKOLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADEOLA
Middle Name:OLUBUKOLA
Last Name:FALEYE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6637 SUMMER KNOLL CIR
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2875
Mailing Address - Country:US
Mailing Address - Phone:901-377-1744
Mailing Address - Fax:901-507-4772
Practice Address - Street 1:6637 SUMMER KNOLL CIR
Practice Address - Street 2:SUITE # 102
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2875
Practice Address - Country:US
Practice Address - Phone:901-377-1744
Practice Address - Fax:901-507-4772
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN76161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics