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DR. ELOM KWAME AGBOTTAH DDS
NPI 1326531120
Dentist - General Practice in Modesto, CA

Active since June 07, 2018
2225 PLAZA PKWY, MODESTO, CA 95350(209) 491-3620 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elom Kwame Agbottah Dds NPPES

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

DR. ELOM KWAME AGBOTTAH DDS (NPI 1326531120) is an individual general practice provider in Modesto, California, licensed in California (103776) and active in the NPI registry since June 2018. He maintains a secondary practice location in College Station.

NPPES Registry Identity

NPI1326531120
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELOM KWAME AGBOTTAHCredential: DDS
Location Address2225 PLAZA PKWYModesto, CA 95350-6215
Mailing Address2225 Plaza PkwyModesto, CA 95350-6215 · (512) 707-9737
Phone(209) 491-3620
Sole ProprietorNo
Enumeration DateJune 7, 2018
Last NPPES UpdateOctober 2, 2019
✔ NPI 1326531120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 103776
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 ListedDentistTaxonomy 122300000X · License 33911 (TX)
2225 PLAZA PKWY, Modesto, CA 95350
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Other Names 1

Professional Name (2)Dr. Elom Kwame Agbottah Dr. Elom

Secondary Practice Location 1

Location 11530 Texas Ave S Ste 300College Station, TX 77840-3390 · Phone (979) 421-4093

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona, Humana.Insurance ›

Other Providers at the Same Location NPPES 4

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

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
2225 PLAZA PKWY
MODESTO, CA 95350
Stanislaus County (209) 524-4724
SHYAM VEDI SHARMA
Pharmacist
2225 PLAZA PKWY
MODESTO, CA 95350
Stanislaus County (209) 524-4724
NATIONAL VISION, INC.
Technician/Technologist (Optician)
2225 PLAZA PKWY, SUITE C1
MODESTO, CA 95350
Stanislaus County (209) 702-6240
RUTH RYU
Pharmacist
2225 PLAZA PKWY
MODESTO, CA 95350
Stanislaus County (209) 524-4724

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 Elom Agbottah's NPI number?

The NPI number for Elom Agbottah is 1326531120. It was assigned to this individual provider in the NPPES registry on June 7, 2018. The provider is also known as Dr. Elom Kwame Agbottah Dr. Elom.

Where is Elom Agbottah located?

Elom Agbottah practices at 2225 Plaza Pkwy, Modesto, CA 95350. The listed phone number is (209) 491-3620.

What is Elom Agbottah's specialty?

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

What insurance does Elom Agbottah accept?

Health plans from Delta Dental of Arizona and Humana list Elom Agbottah 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 Elom Agbottah was last updated on October 2, 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.