OLUBUNMI OSUNFISAN (NPI# 1205256039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205256039 |
| Entity Type | Individual |
| Full Name | OLUBUNMI OSUNFISAN |
| Credential | DDS |
| Practice Address |
4373 Jimmy Lee Smith Pkwy # 105 Hiram GA 30141-2629 |
| Practice Telephone | 6782249224 |
| Mailing Telephone | 6782249224 |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014750 | GA | Dental Providers |
| Street Address |
4373 JIMMY LEE SMITH PKWY # 105 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497269922 | Saini Dental LLC | Dentist | 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2629 | 2017-11-20 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1619235694 | Sadja Gaud-quintana | Dentist | 4373 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2629 | 2012-04-27 |
| 1073659413 | John Warren | Dentist | 20 Quail Ridge Rd, Hiram, GA 30141-2246 | 2007-01-30 |
| 1841337904 | Azita Bahrami | Dentist | 76 Highland Pavilion Ct Suite 145, Hiram, GA 30141 | 2007-01-30 |
| 1902910110 | Therese Quynh Vu | Dentist | 5886 Wendy Bagwell Pkwy, Suite 201, Hiram, GA 30141 | 2006-08-18 |
| 1447272380 | Olajumoke O Adedoyin | Dentist | 4484 Jimmy Lee Smith Pkwy, Suite E114, Hiram, GA 30141-2737 | 2006-07-23 |
| 1164497764 | Sharon Bingham-shultz | Dentist | 5886 Wendy Bagwell Pkwy Ste 201, Hiram, GA 30141-7811 | 2006-02-17 |
| 1003461559 | Euiyoung Kwak | Dentist | 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2642 | 2019-08-01 |
| 1861767253 | West Georgia Dentistry for Children | Dentist | 3827 Jimmy Lee Smith Pkwy, Suite 121, Hiram, GA 30141-2804 | 2012-03-19 |
| Find all providers in HIRAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.