Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANUOLUWAPO SHADAMORO DMD
NPI 1205770013
Dentist - General Practice in Benton Harbor, MI

Active since April 14, 2026
1817 M 139, BENTON HARBOR, MI 49022(269) 487-3139 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anuoluwapo Shadamoro Dmd NPPES

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

ANUOLUWAPO SHADAMORO DMD (NPI 1205770013) is an individual general practice provider in Benton Harbor, Michigan, licensed in Michigan (2901603124) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1205770013
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameANUOLUWAPO SHADAMOROCredential: DMD
Location Address1817 M 139Benton Harbor, MI 49022-6103
Mailing Address1817 M 139Benton Harbor, MI 49022-6103
Sole ProprietorNo
Enumeration DateApril 14, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1205770013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901603124
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.
1817 M 139, Benton Harbor, MI 49022

Other Providers at the Same Location NPPES 3

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

Dentist
1817 M 139
BENTON HARBOR, MI 49022
Dentist
1817 M 139
BENTON HARBOR, MI 49022
Dentist (General Practice)
1817 M 139
BENTON HARBOR, MI 49022

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 Anuoluwapo Shadamoro's NPI number?

The NPI number for Anuoluwapo Shadamoro is 1205770013. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Anuoluwapo Shadamoro located?

Anuoluwapo Shadamoro practices at 1817 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 487-3139.

What is Anuoluwapo Shadamoro's specialty?

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

When was this NPI record last updated?

The NPPES record for Anuoluwapo Shadamoro was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.