Individual
DR. OLAWALE OSINUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1436 WINFIELD DUNN PKWY STE 2, SEVIERVILLE, TN 37876-1582
(865) 657-7645
Mailing address
1436 WINFIELD DUNN PKWY STE 2, SEVIERVILLE, TN 37876-1582
(865) 657-7645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10662
TN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/04/2018
Last updated
10/28/2020
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