OLUWAFISAYO JEBUTU
Dentist - General Practice
Active
Individual
NPI: 1992405385
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | 019034360 (IL) |
Frequently Asked Questions
NPI 1992405385 is the National Provider Identifier for OLUWAFISAYO JEBUTU, a Dentist - General Practice provider located in Champaign, IL. This NPI was enumerated on March 6, 2023.
OLUWAFISAYO JEBUTU practices at 1902 N PROSPECT AVE STE 1, Champaign, IL 61822.
Quick Facts
- NPI
- 1992405385
- Type
- Individual
- Enumerated
- Mar 6, 2023
- Last Updated
- Jun 9, 2023
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