DR. BABATUNDE O. AGBOLA DMD
NPI 1205387818
Dentist - General Practice in San Angelo, TX

Q: What is Babatunde Agbola's NPI number?

The NPI number for Babatunde Agbola is 1205387818. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Q: What is Babatunde Agbola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Babatunde Agbola was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 18, 2016

35 E 31ST ST, SAN ANGELO, TX 76903(325) 659-8080 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2019, Oct 18, 2016 (2 updates tracked since 2016).

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About Dr. Babatunde O. Agbola Dmd NPPES

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

DR. BABATUNDE O. AGBOLA DMD (NPI 1205387818) is an individual general practice provider in San Angelo, Texas, licensed in Texas (34842) and active in the NPI registry since October 2016. He maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1205387818

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BABATUNDE O. AGBOLACredential: DMD

Location Address35 E 31ST STSan Angelo, TX 76903-2207

Mailing Address3015 Wilson AveLouisville, KY 40211-1969 · (502) 774-4401 · Fax (502) 775-6195

Phone(325) 659-8080

Sole ProprietorNo

Enumeration DateOctober 18, 2016

Last NPPES UpdateSeptember 10, 20192 updates tracked since enumeration

✔ NPI 1205387818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TX · 34842✔ Licensed in KY · 9860

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.

35 E 31ST ST, San Angelo, TX 76903

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Secondary Practice Location 1

Location 13015 Wilson AveLouisville, KY 40211-1969 · Phone (502) 774-4401 · Fax (502) 775-6195

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 ›

Other Providers at the Same Location NPPES 6

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

LA ESPERANZA CLINIC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))