OLUSEGUN K. ALONGE (NPI# 1548243249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548243249 |
| Entity Type | Individual |
| Full Name | OLUSEGUN K. ALONGE |
| Credential | DDS |
| Practice Address |
624 Mary Lake Dr Bryan TX 77801-3423 |
| Mailing Address |
1500 University Dr E #100 College Station TX 77840-2600 |
| Practice Telephone | 9798462500 |
| Practice Fax Number | 9798462530 |
| Mailing Telephone | 9798461100 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 20289 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20289 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI AGENCY | 1821185299 | 01 |
| TX | 154467801 | 05 | |
| TX | 154467803 | 05 | |
| TX | NPI CINIC B | 1649265646 | 01 |
| TX | TAX ID | 741715140 | 01 |
| TX | NPI CLINIC R | 1275620551 | 01 |
| Street Address |
624 MARY LAKE DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77801-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192064 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 624 Mary Lake Dr, Bryan, TX 77801-3423 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083744940 | St. Joseph Regional Health Center | Ambulance | 511 Sulphur Springs, Bryan, TX 77801 | 2007-03-07 |
| 1699843789 | Glenn Marlin Bruxvoort | Social Worker | 601 Mary Lake Drive, Bryan, TX 77801 | 2006-11-30 |
| 1073618062 | Nancy E Algert | Psychologist | 115 Royal Street, Bryan, TX 77801 | 2006-09-14 |
| 1538121637 | Sybil R Hart | Pathology | 1430 West C Street, Russellville, AR 77801 | 2006-04-04 |
| 1972140283 | Atlantis Victoria Denton | Licensed Vocational Nurse | 1602 S College Ave Apt 3, Bryan, TX 77801-1233 | 2019-12-05 |
| 1861657165 | Thomas Hayden | Physical Therapy Assistant | 1915 Orman St, Bryan, TX 77801-1328 | 2008-07-25 |
| 1811090012 | Olva Earl Ryan | Chiropractor | 1906 S College Ave, Bryan, TX 77801-1417 | 2006-09-06 |
| 1184045494 | Daniel Wayne Barringer | Specialist/Technologist | 1209a Webhollow Cir, Bryan, TX 77801-1604 | 2014-01-04 |
| 1427122704 | Joe D Crnkovic Dba Audible Hearing Center | Durable Medical Equipment & Medical Supplies | 2305 Cavitt Ave, Bryan, TX 77801-2006 | 2006-11-20 |
| 1720126725 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Post Office St, Bryan, TX 77801-2141 | 2007-02-02 |
| Find all providers in zip 77801 | ||||
| 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 |
|---|---|---|---|---|
| 1205453883 | Akhilesh Shikaripur Mohan | Dentist | 3203 Freedom Blvd Ste 400, Bryan, TX 77802-5018 | 2020-06-30 |
| 1699212951 | Magic Smiles Pllc | Dentist | 1622 W Villa Maria Rd, Suite 140, Bryan, TX 77807-2311 | 2017-01-25 |
| 1366867426 | John Albert Johnson Jr. | Dentist | 3702 Coppercrest Dr, Bryan, TX 77802-5941 | 2014-02-26 |
| 1497039846 | Theresa Coronado Foreman | Dentist | 3111 S. Texas Ave, Bryan, TX 77802 | 2011-10-04 |
| 1134407877 | Brittany Machelle Walker | Dentist | 910 N Earl Rudder Fwy, Suite 100, Bryan, TX 77802-2930 | 2011-07-29 |
| 1255667168 | J. Craig Scasta, D.d.s., Pa | Dentist | 1615 Barak Ln Ste 2, Bryan, TX 77802-3301 | 2009-10-28 |
| 1255581278 | Asha Patel | Dentist | 3111 South Texas Ave, Bryan, TX 77802-3159 | 2008-09-26 |
| 1770609349 | Tamie Erratt | Dentist | 3832 S Texas Ave, Bryan, TX 77802-3712 | 2007-03-22 |
| 1962528554 | James D Moffitt | Dentist | 1126 E Villa Maria Rd, Bryan, TX 77802-2444 | 2007-03-22 |
| 1164557377 | Drs. Hanna and Phillips D.d.s. and Associates, Inc. | Dentist | 201 Van Gundy Dr Ste A, Bryan, OH 43506-1179 | 2007-02-21 |
| Find all providers in BRYAN | ||||
Please comment or provide details below to improve the information on OLUSEGUN K. ALONGE.
| 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.