DR. MODUPE MARY OGUNNUSI SOFUYE DMD
NPI 1437644549
Dentist - General Practice in South Bend, IN

Q: What is Modupe Ogunnusi Sofuye's NPI number?

The NPI number for Modupe Ogunnusi Sofuye is 1437644549. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Q: What is Modupe Ogunnusi Sofuye's specialty?

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

Active since June 30, 2018

1290 E IRELAND RD, SOUTH BEND, IN 46614(574) 299-1400 Get Directions Write a Review

NPPES record last updated: June 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Modupe Mary Ogunnusi Sofuye Dmd NPPES

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

DR. MODUPE MARY OGUNNUSI SOFUYE DMD (NPI 1437644549) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (12012973A) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1437644549

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MODUPE MARY OGUNNUSI SOFUYECredential: DMD

Location Address1290 E IRELAND RDSouth Bend, IN 46614-3474

Mailing Address823b Sorin StSouth Bend, IN 46617-2047 · (786) 619-4170

Phone(574) 299-1400

Sole ProprietorNo

Enumeration DateJune 30, 2018

✔ NPI 1437644549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12012973A

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.

1290 E IRELAND RD, South Bend, IN 46614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

EYEMART EXPRESS LLC

Eyewear Supplier

1290 E IRELAND RD
SOUTH BEND, IN 46614

St. Joseph County (574) 291-1100

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 Modupe Ogunnusi Sofuye's NPI number?

The NPI number for Modupe Ogunnusi Sofuye is 1437644549. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Modupe Ogunnusi Sofuye located?

Modupe Ogunnusi Sofuye practices at 1290 E Ireland Rd, South Bend, IN 46614. The listed phone number is (574) 299-1400.

What is Modupe Ogunnusi Sofuye's specialty?

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

What insurance does Modupe Ogunnusi Sofuye accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Modupe Ogunnusi Sofuye 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 Modupe Ogunnusi Sofuye was last updated on June 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.