Individual
OLUTAYO A. ODUSANWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
335 PRAIRIE AVE, PROVIDENCE, RI 02905
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856580
MA
1223P0221X
Pediatric Dentistry
Primary
DEN03469
RI
Other
Enumeration date
10/09/2014
Last updated
07/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us