DR. ANTHONY OLATUNJI SMILES DMD INC
NPI 1255184164
Dentist - General Practice in Los Angeles, CA

Active since April 10, 2024
11900 AVALON BLVD STE 101, LOS ANGELES, CA 90061(310) 331-8134 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, Apr 10, 2024 (2 updates tracked since 2024).

About Dr. Anthony Olatunji Smiles Dmd Inc NPPES

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

DR. ANTHONY OLATUNJI SMILES DMD INC (NPI 1255184164) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since April 2024. The organization lists Anthony Oyebode Olatunji, Dentist, as its authorized official.

NPPES Registry Identity

NPI1255184164
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. ANTHONY OLATUNJI SMILES DMD INC
Location Address11900 AVALON BLVD STE 101Los Angeles, CA 90061-2867
Mailing Address1510 W Artesia Sq Apt CGardena, CA 90248-4768 · (781) 774-9885 · Fax (310) 747-5273
Organization SubpartNo
Authorized OfficialAnthony Oyebode OlatunjiDentist · (781) 774-9885
Enumeration DateApril 10, 2024
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1255184164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
11900 AVALON BLVD STE 101, Los Angeles, CA 90061

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Olatunji Smiles Dmd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Anthony Olatunji Smiles Dmd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1932267390
11900 AVALON BLVD STE 101
Los Angeles, CA 90061
(310) 331-8134
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr. Anthony Olatunji Smiles Dmd Inc's NPI number?

The NPI number for Dr. Anthony Olatunji Smiles Dmd Inc is 1255184164. It was assigned to this organization in the NPPES registry on April 10, 2024.

Where is Dr. Anthony Olatunji Smiles Dmd Inc located?

Dr. Anthony Olatunji Smiles Dmd Inc is located at 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061. The listed phone number is (310) 331-8134.

What is Dr. Anthony Olatunji Smiles Dmd Inc's specialty?

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

Is Dr. Anthony Olatunji Smiles Dmd Inc enrolled in Medicare?

Yes. Dr. Anthony Olatunji Smiles Dmd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Anthony Olatunji Smiles Dmd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Dr. Anthony Olatunji Smiles Dmd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Anthony Olatunji Smiles Dmd Inc was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.