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JESUTOFUNMI OSUNDEKO D.M.D.
NPI 1720489578
Dentist in Lacey, WA

Active since September 11, 2014PECOS Enrolled
8050 FREEDOM LN NE, SUITE C, LACEY, WA 98516(360) 339-4373 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jesutofunmi Osundeko D.m.d. NPPES

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

JESUTOFUNMI OSUNDEKO D.M.D. (NPI 1720489578) is an individual dentist in Lacey, Washington, licensed in Washington (DE 60574855) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720489578
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESUTOFUNMI OSUNDEKOCredential: D.M.D.
Location Address8050 FREEDOM LN NE, SUITE CLacey, WA 98516-4761
Mailing Address8050 Freedom Ln Ne, Suite CLacey, WA 98516-4761 · (360) 339-4373
Phone(360) 339-4373
Sole ProprietorYes
Enumeration DateSeptember 11, 2014
Last NPPES UpdateNovember 16, 2015
✔ NPI 1720489578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE 60574855
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8050 FREEDOM LN NE, Lacey, WA 98516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesutofunmi Osundeko D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LORI A NOGA, DMD, PLLC
Clinic/Center (Dental)
8050 FREEDOM LN NE, SUITE C
LACEY, WA 98516
Thurston County (360) 529-9968

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 Jesutofunmi Osundeko's NPI number?

The NPI number for Jesutofunmi Osundeko is 1720489578. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Jesutofunmi Osundeko located?

Jesutofunmi Osundeko practices at 8050 Freedom Ln NE Suite C, Lacey, WA 98516. The listed phone number is (360) 339-4373.

What is Jesutofunmi Osundeko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jesutofunmi Osundeko enrolled in Medicare?

Yes. Jesutofunmi Osundeko is registered in the Medicare PECOS enrollment system.

What insurance does Jesutofunmi Osundeko accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Jesutofunmi Osundeko 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 Jesutofunmi Osundeko was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.