Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Temidayo Olugbenga Odugbesan, MD, SA-C

Individual provider Surgical Physician Assistant · NPI 1477909448

Dr. Temidayo Olugbenga Odugbesan, MD, SA-C is a Surgical Physician Assistant in Montgomery, Alabama. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6117 Boardwalk Blvd Apt J
Montgomery, AL 36117-2812
Phone: (872) 806-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 238.000495 (IL)

Record details

NPI number1477909448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , SA-C
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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