Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Oluwaseun Odutola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164043410

Dr. Oluwaseun Odutola is a Student in an Organized Health Care Education/Training Program in New Hartford, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4754 Commercial Dr Ste 2
New Hartford, NY 13413-6205
Phone: (315) 768-7799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062186 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1164043410
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESDecember 4, 2021
Certification dateDecember 4, 2021

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