Provider Demographics
NPI:1891135802
Name:ADESANYA, ZAINAB TEMITOPE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:TEMITOPE
Last Name:ADESANYA
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 1:5040 FOREST DR STE 220
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8167
Mailing Address - Country:US
Mailing Address - Phone:614-808-3688
Mailing Address - Fax:614-808-3647
Practice Address - Street 1:5040 FOREST DR STE 220
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8167
Practice Address - Country:US
Practice Address - Phone:614-808-3688
Practice Address - Fax:614-808-3647
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.3344122300000X
OH30024152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist