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OLUWADAMILOLA OMODELE AJAGBE DDS
NPI 1164945150
Dentist in Lakeland, MN

Active since July 21, 2017PECOS Enrolled
44 SAINT CROIX TRL S STE 100, LAKELAND, MN 55043(651) 436-5177 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Mar 25, 2020, Jan 6, 2020 and 1 more (4 updates tracked since 2017).

About Oluwadamilola Omodele Ajagbe Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWADAMILOLA OMODELE AJAGBE DDS (NPI 1164945150) is an individual dentist in Lakeland, Minnesota, licensed in Minnesota (D13899) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164945150
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameOLUWADAMILOLA OMODELE AJAGBECredential: DDS
Location Address44 SAINT CROIX TRL S STE 100Lakeland, MN 55043-9657
Mailing Address2817 S Cooper St Apt 2311Arlington, TX 76015-2465
Phone(651) 436-5177
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1164945150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13899
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 34948 (TX)
44 SAINT CROIX TRL S STE 100, Lakeland, MN 55043
Open in Google Maps ↗

Other Identifiers 2

OtherD13899MN · Minnesota Board Of Dentistry
Other34948TX · Texas Board Of Dental Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwadamilola Omodele Ajagbe Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHLAND DENTAL PARTNERS, PLLC
Dentist (General Practice)
44 SAINT CROIX TRL S STE 100
LAKELAND, MN 55043
Washington County (651) 436-5177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwadamilola Ajagbe's NPI number?

The NPI number for Oluwadamilola Ajagbe is 1164945150. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Oluwadamilola Ajagbe located?

Oluwadamilola Ajagbe practices at 44 Saint Croix Trl S Ste 100, Lakeland, MN 55043. The listed phone number is (651) 436-5177.

What is Oluwadamilola Ajagbe's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Oluwadamilola Ajagbe enrolled in Medicare?

Yes. Oluwadamilola Ajagbe is registered in the Medicare PECOS enrollment system.

What insurance does Oluwadamilola Ajagbe accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Oluwadamilola Ajagbe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oluwadamilola Ajagbe was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.