DR. AYODEJI TIMOTHY IDOWU


Address: 1900 Massachusetts Avenue Se, Washington, DC 20003
Phone: 2025485107

DR. AYODEJI TIMOTHY IDOWU (NPI# 1740454800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740454800
Entity Type Individual
Full Name DR. AYODEJI TIMOTHY IDOWU
Credential D.D.S
Practice Address 1900 Massachusetts Avenue Se
Washington
DC 20003
Mailing Address 8880 Goose Landing Cir
Columbia
MD 21045-2173
Practice Telephone 2025485107
Mailing Telephone 4107151688
Mailing Fax Number 4107154406
Enumeration Date 2008-04-18
Last Update Date 2008-04-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
DEN1000002 DC Dental Providers

Office Location

Street Address 1900 MASSACHUSETTS AVENUE SE
City WASHINGTON
State DC
Zip Code 20003

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1881164424 Heather Yvonne Daniels Social Worker 650 I Street Ne, Washington, DC 20003 2018-11-27
1467946566 Fanta Boakai Sheriff Home Health Aide 1202 12th Street Se, Washington, DC 20003 2018-06-21
1881117513 Rose Physcial Therapy Group Physical Therapist 1015 Half Street #102, Washington, DC 20003 2017-07-25
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558927822 Dubose Prosthodontics Dentist 5437 Connecticut Ave Nw Apt 203, Washington, DC 20015-2706 2019-05-13
1659837417 Daniel Andrew Pinto Dentist 2440 M St Nw Ste 610, Washington, DC 20037-1497 2019-02-18
1396137642 Amelia L Orta Dentist 1234 19th St Nw Ste 306, Washington, DC 20036-2468 2015-02-24
1962677559 Christos Constantin Loukaitis Dentist 4434 Macarthur Blvd Nw, Suite 101, Washington, DC 20007-2500 2008-04-24
1528283975 Hamid Reza Shafie Dentist 1426 21st St Nw, 2nd Floor, Washington, DC 20036-5947 2007-04-13
1043346489 Gerald M Marlin Dentist 4400 Jenifer Street Nw, Suite 220, Washington, DC 20015 2007-02-27
1366543951 Michael Thomas Curran Dentist Vamc Dental Service 50 Irving St Nw, Washington, DC 20422-0001 2006-09-26
1255356473 James Preble Dentist 2100 2nd St Sw Ste 5314, Washington, DC 20593-0002 2006-07-12
1073547337 Richard Leupold Dentist 50 Irving St., Nw, Vamc Washington -dental 160, Washington, DC 20422-0001 2006-07-10
1437137593 Ioana Bettios Dentist 600 W St Nw, Washington, DC 20059-1022 2006-01-08
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City WASHINGTON
Zip Code 20003

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Dataset Information

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.

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