Search › Rhode Island › 1223P0221X
Olutayo Odusanwo, DMD
NPI 1821492505 · on the registry since 2014
Practice
- Address
- 335 Prairie Ave
Providence, RI 02905 - Phone
- (401) 444-0430
- Fax
- (401) 444-0489
- Organisation at this address
- Walgreen Co
The Providence Community Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 335 Prairie Ave, Providence, RI
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
- Licence states on file
- MA, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island