# TAIWO OSUNKOYA DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568599926
- **Authorized official:** DR. TAIWO MARY OSUNKOYA DMD (SOLO PRACTITIONER)
- **Authorized official phone:** (410) 479-9466

## Contact information

- **Practice address:** 414 N 6TH STREET, DENTON, MD 21629
- **Practice address phone:** (410) 479-9466
- **Practice address fax:** (410) 479-9488
- **Mailing address:** PO BOX 369, DENTON, MD 21629
- **Mailing address phone:** (410) 479-9466
- **Mailing address fax:** (410) 479-9488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12666 | MD | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001159508 | — | MD |