Provider Demographics
NPI:1982011219
Name:ADENIYI OLAYINKA AKANDE DDS A DENTAL CORPORATION
Entity Type:Organization
Organization Name:ADENIYI OLAYINKA AKANDE DDS A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ADENIYI
Authorized Official - Middle Name:OLAYINKA
Authorized Official - Last Name:AKANDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-228-3000
Mailing Address - Street 1:1902 E ASHLAN AVE
Mailing Address - Street 2:NONE
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-2021
Mailing Address - Country:US
Mailing Address - Phone:559-228-3000
Mailing Address - Fax:
Practice Address - Street 1:1902 E ASHLAN AVE
Practice Address - Street 2:NONE
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-2021
Practice Address - Country:US
Practice Address - Phone:559-228-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty