Individual
DR. OLUROTIMI ADEDAPO OGUNDIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4716 ILLINOIS RD STE 101, FORT WAYNE, IN 46804-5123
(260) 432-7970
Mailing address
2804 CORLEE CRES, BROWNSBURG, IN 46112-7208
(202) 460-2597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013992A
IN
1223G0001X
General Practice Dentistry
2901600564
MI
Other
Enumeration date
11/09/2020
Last updated
02/16/2023
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