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DR. BOLADALE WONUOLA AJAYI DDS
NPI 1194352237
Dentist - General Practice in Princess Anne, MD

Active since March 26, 2020PECOS Enrolled
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Mar 26, 2020 (2 updates tracked since 2020).

About Dr. Boladale Wonuola Ajayi Dds NPPES

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

DR. BOLADALE WONUOLA AJAYI DDS (NPI 1194352237) is an individual general practice provider in Princess Anne, Maryland, licensed in Maryland (17495) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194352237
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BOLADALE WONUOLA AJAYICredential: DDS
Location Address12165 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 651-5151
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1194352237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 17495
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12165 ELM ST, Princess Anne, MD 21853
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Other Identifiers 1

Medicaid119591300MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Dr. Boladale Wonuola Ajayi 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 21853 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 20

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

MISS ROSHNI MINHAS DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ROBERT MARK SCHULZ DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. CELESTE MARIE ZIARA DDS
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ARIEL KARYN SNELL DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. REEVES VARGHESE MANIKAT DMD
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TRENT JOHNSON DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TAMMARA MARIE BELL DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. PATRICK RAYMOND HOLMLUND DDS
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151

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 Boladale Ajayi's NPI number?

The NPI number for Boladale Ajayi is 1194352237. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Boladale Ajayi located?

Boladale Ajayi practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Boladale Ajayi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Boladale Ajayi enrolled in Medicare?

Yes. Boladale Ajayi is registered in the Medicare PECOS enrollment system.

What insurance does Boladale Ajayi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Boladale Ajayi 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 Boladale Ajayi was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.