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

Individual provider Dentist · NPI 1821492505

Olutayo A. Odusanwo, DMD is a Dentist in Providence, Rhode Island. Works from 2 locations. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

335 Prairie Ave
Providence, RI 02905
Phone: (401) 444-0430
Fax: (401) 444-0489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 335 Prairie Ave, Providence, RI 02905 — (401) 444-0430

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DEN03469 (RI)
Dentist Taxonomy 122300000X · Licence DN1856580 (MA)

Record details

NPI number1821492505
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESJuly 23, 2019

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