OLUWATOYIN OMOTAYO OLASODE
NPI 1710803952
Dentist - General Practice in Fort Wayne, IN
About Oluwatoyin Omotayo Olasode NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUWATOYIN OMOTAYO OLASODE (NPI 1710803952) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12015035A) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oluwatoyin Omotayo Olasode is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46802
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710803952, enumerated as an "individual" on June 24, 2026.
The provider is located at 1717 S CALHOUN ST FORT WAYNE, IN 46802 and the phone number is (260) 458-2641.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
