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OLUWAFISAYO JEBUTU
NPI 1992405385
Dentist - General Practice in Champaign, IL

Active since March 06, 2023
1902 N PROSPECT AVE STE 1, CHAMPAIGN, IL 61822(217) 408-2511 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Oluwafisayo Jebutu NPPES

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

OLUWAFISAYO JEBUTU (NPI 1992405385) is an individual general practice provider in Champaign, Illinois, licensed in Illinois (019034360) and active in the NPI registry since March 2023. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1992405385
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameOLUWAFISAYO JEBUTU
Location Address1902 N PROSPECT AVE STE 1Champaign, IL 61822-1411
Mailing Address1902 N Prospect Ave Ste 1Champaign, IL 61822-1411 · (217) 408-2511
Phone(217) 408-2511
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1992405385 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 IL · 019034360
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1902 N PROSPECT AVE STE 1, Champaign, IL 61822
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Secondary Practice Location 1

Location 13302 Gaston AveDallas, TX 75246-2013 · Phone (214) 828-8215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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.

PHILCO DENTAL GROUP LLC - CHAMPAIGN
Dentist (General Practice)
1902 N PROSPECT AVE STE 1
CHAMPAIGN, IL 61822
Champaign County (217) 204-9025

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 Oluwafisayo Jebutu's NPI number?

The NPI number for Oluwafisayo Jebutu is 1992405385. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Oluwafisayo Jebutu located?

Oluwafisayo Jebutu practices at 1902 N Prospect Ave Ste 1, Champaign, IL 61822. The listed phone number is (217) 408-2511.

What is Oluwafisayo Jebutu's specialty?

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

What insurance does Oluwafisayo Jebutu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Oluwafisayo Jebutu 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 Oluwafisayo Jebutu was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.